NPIMap

Individual provider Active NPI

Kotiona Maxwell

  • Home Health Aide
  • Darby, PA
National Provider Identifier
1174129506
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
85-0604860 Issued in PA
Practice address
349 Westmont Dr
Darby, PA 19023-1023
Phone
(215) 578-0879
NPI assigned
Dec 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 85-0604860 PA Primary

Addresses

Primary practice location

349 Westmont Dr
Darby, PA 19023-1023

Mailing address

314 E 24TH St Apt B10
Chester, PA 19013-4809
Phone (267) 206-0834

Other practice location 1

314 E 24th St Apt B10
Chester, PA 19013-4809
Phone (267) 206-0834

Other identifiers 1

IdentifierTypeStateIssuer
85-0604860OtherPANON MEDICAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address homecare@healthingheartsagency.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hearts Home Care Agency LLC CurrentSince Dec 13, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1174129506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E 24TH ST APT B10",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190134809",
            "telephone_number": "267-206-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 WESTMONT DR",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231023",
            "telephone_number": "215-578-0879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "314 E 24th St Apt B10",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "PA",
            "postal_code": "190134809",
            "country_code": "US",
            "telephone_number": "267-206-0834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "KOTIONA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "PA",
            "license": "85-0604860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON MEDICAL",
            "identifier": "85-0604860",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "homecare@healthingheartsagency.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "349 Westmont Dr",
            "city": "Darby",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190231023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.