Philadelphia Lives Matter LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PHILADELPHIA LIVES MATTER LLC

Practice address

8500 Lindbergh Blvd Apt 1807
Philadelphia, PA 19153-1521

Phone

(267) 265-4670

NPI assigned

Mar 24, 2021

Last updated

Mar 24, 2021By 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

Stanley Williams

Title

Administrator

Phone

(267) 265-4670

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1144807538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 LINDBERGH BLVD APT 1807",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191531521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 LINDBERGH BLVD APT 1807",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191531521",
            "telephone_number": "267-265-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA LIVES MATTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "267-265-4670"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103846921",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philadelphia Hospital Associations
• Philadelphia Hune, Inc.
• Philadelphia Hypertension & Nephrology Consultants PC
• Philadelphia Kidney and Hypertension Associates, PC
• Philadelphia Lancer Alliance (Acti-Kare Responsive In-Home Care)
• Philadelphia Medcare, D.C., P.C.
• Philadelphia Medical Group
• Philadelphia Mental Health
• Philadelphia Mental Health Center
• Philadelphia Mental Health Clinic

• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.