Image Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

IMAGE HOMECARE LLC

Practice address

122 Parker LN
Tallmadge, OH 44278-2523

Phone

(570) 468-5743

NPI assigned

Aug 24, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Khadga Thulung Rai

Title

Owner

Phone

(570) 468-5743

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1124747043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 PARKER LN",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782523",
            "telephone_number": "570-468-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 PARKER LN",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782523",
            "telephone_number": "570-468-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "RAI",
        "authorized_official_first_name": "KHADGA",
        "authorized_official_middle_name": "THULUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-468-5743"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.