NPIMap

Organization Active NPI

Icare Home and Supportive Services LLC

  • In Home Supportive Care Agency
  • Bala Cynwyd, PA
National Provider Identifier
1134865454
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ICARE HOME AND SUPPORTIVE SERVICES LLC
Practice address
130 Monument Rd Apt 444
Bala Cynwyd, PA 19004-1764
Phone
(267) 461-0564
NPI assigned
May 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Authorized official

Name
Aiona Walker
Title
President
Phone
(267) 461-0564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

130 Monument Rd Apt 444
Bala Cynwyd, PA 19004-1764

Mailing address

130 Monument Rd Apt 444
Bala Cynwyd, PA 19004-1764
Phone (267) 461-0564

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1134865454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MONUMENT RD APT 444",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041764",
            "telephone_number": "267-461-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MONUMENT RD APT 444",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041764",
            "telephone_number": "267-461-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE HOME AND SUPPORTIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "AIONA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-461-0564"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.