Penn Life Care Health LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

PENN LIFE CARE HEALTH LLC

Practice address

3070 Bristol Pike Ste 1-114
Bensalem, PA 19020-5356

Phone

(267) 217-3566

Fax

(215) 494-3264

NPI assigned

Jan 29, 2025

Last updated

Feb 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kanwal Riaz

Title

President

Phone

(267) 217-3566

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1124831607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 BRISTOL PIKE STE 1-114",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205356",
            "telephone_number": "267-217-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 BRISTOL PIKE STE 1-114",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205356",
            "telephone_number": "267-217-3566",
            "fax_number": "215-494-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN LIFE CARE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "RIAZ",
        "authorized_official_first_name": "KANWAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-217-3566"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Aide in Bensalem, PA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.