Organization Active NPI

Edomight Care Services LLC

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1164986295
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EDOMIGHT CARE SERVICES LLC
Practice address
6148 Wheeler St
Philadelphia, PA 19142-3214
Phone
(267) 971-2456
NPI assigned
Jan 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Authorized official

Name
Virginus Edomobi
Title
Ceo
Phone
(267) 971-2456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6148 Wheeler St
Philadelphia, PA 19142-3214

Mailing address

6148 Wheeler St
Philadelphia, PA 19142-3214
Phone (267) 971-2456

Other names 1

  • EDOMIGHT CARE SERVICES Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1164986295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6148 WHEELER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191423214",
            "telephone_number": "267-971-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6148 WHEELER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191423214",
            "telephone_number": "267-971-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDOMIGHT CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "EDOMOBI",
        "authorized_official_first_name": "VIRGINUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-971-2456"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDOMIGHT CARE SERVICES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.