Elc Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ELC HOME CARE LLC

Practice address

1216 Hunter LN
Perkiomenville, PA 18074-9483

Phone

(267) 701-0165

NPI assigned

Sep 10, 2021

Last updated

Sep 10, 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

Ezzard Crummy

Title

President

Phone

(267) 701-0165

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1144999384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 HUNTER LN",
            "city": "PERKIOMENVILLE",
            "state": "PA",
            "postal_code": "180749483",
            "telephone_number": "267-701-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 HUNTER LN",
            "city": "PERKIOMENVILLE",
            "state": "PA",
            "postal_code": "180749483",
            "telephone_number": "267-701-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELC HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "CRUMMY",
        "authorized_official_first_name": "EZZARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-701-0165"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Sep 10, 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.