Organization Active NPI

Holy Angel Home Care LLC

  • Personal Care Attendant
  • Philadelphia, PA
National Provider Identifier
1215580592
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
HOLY ANGEL HOME CARE LLC
Practice address
9313 Krewstown Rd
Philadelphia, PA 19115-3710
Phone
(215) 673-7373
Fax
(215) 673-7370
NPI assigned
Jul 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Authorized official

Name
Mr. Devassykutty K Vareed, RPHNPI 1356087340
Title
President / Ceo
Phone
(267) 760-4417

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
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

9313 Krewstown Rd
Philadelphia, PA 19115-3710

Mailing address

11 Sunflower Way
Huntingdon Valley, PA 19006-5450
Phone (267) 760-4417

Other names 1

  • Holy Angel Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

9313 Krewstown Rd
Philadelphia, PA 19115
Phone (215) 673-7373

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": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1215580592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SUNFLOWER WAY",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190065450",
            "telephone_number": "267-760-4417",
            "fax_number": "215-673-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9313 KREWSTOWN RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153710",
            "telephone_number": "215-673-7373",
            "fax_number": "215-673-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY ANGEL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "VAREED",
        "authorized_official_first_name": "DEVASSYKUTTY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "267-760-4417",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holy Angel Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Holy Angel Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 25, 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.