Organization Active NPI

Main Line Home Care Services LLC

  • In Home Supportive Care Agency
  • Malvern, PA
National Provider Identifier
1174419741
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MAIN LINE HOME CARE SERVICES LLC
Practice address
18 Mystic LN
Malvern, PA 19355-1942
Phone
(484) 686-1255
NPI assigned
Jun 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Carolyn SmithNPI 1881649010
Title
Owner
Phone
(484) 686-1255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

18 Mystic LN
Malvern, PA 19355-1942

Mailing address

18 Mystic LN
Malvern, PA 19355-1942
Phone (484) 686-1255

National Provider Directory

National Provider Directory

Locations

18 Mystic Ln
Malvern, PA 19355
Phone (610) 696-1543

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1174419741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MYSTIC LN",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551942",
            "telephone_number": "484-686-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MYSTIC LN",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551942",
            "telephone_number": "484-686-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-686-1255"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.