NPIMap

Organization Active NPI

Whole Senior Care LLC

  • In Home Supportive Care Agency
  • Wallingford, PA
National Provider Identifier
1205133402
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
CW016886 Issued in PA
Legal business name
WHOLE SENIOR CARE LLC
Practice address
306 Henry LN
Wallingford, PA 19086-6412
Phone
(267) 997-8866
NPI assigned
Feb 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Jayma C Sitton, LCSWNPI 1487894051
Title
Proprietor
Phone
(267) 997-8866

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X CW016886 PA Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

306 Henry LN
Wallingford, PA 19086-6412

Mailing address

306 Henry LN
Wallingford, PA 19086-6412
Phone (267) 997-8866

Other identifiers 1

IdentifierTypeStateIssuer
803254OtherPAMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jayma@wholeseniorcare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110616000748 PA Part B Supplier - Clinic/Group Practice 4082892203 Receives reassigned benefits from 6 practitioners
Practice locations: Wallingford, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1205133402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 HENRY LN",
            "city": "WALLINGFORD",
            "state": "PA",
            "postal_code": "190866412",
            "telephone_number": "267-997-8866",
            "fax_number": "833-315-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 HENRY LN",
            "city": "WALLINGFORD",
            "state": "PA",
            "postal_code": "190866412",
            "telephone_number": "267-997-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2022-05-17",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "SITTON",
        "authorized_official_first_name": "JAYMA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "267-997-8866",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "CW016886",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "803254",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jayma@wholeseniorcare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "306 Henry Ln",
            "city": "Wallingford",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190866412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wallingford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.