Organization Active NPI

Pauline'S Home Care & Management Services, Inc.

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1225548902
Registry record updated Oct 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PAULINE'S HOME CARE & MANAGEMENT SERVICES, INC.
Practice address
12 W Willow Grove Ave
Philadelphia, PA 19118-3952
Phone
(267) 422-3950
Fax
(215) 543-3344
NPI assigned
Oct 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2017

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

Authorized official

Name
Jacklynn B Johnson
Title
Ceo/Owner
Phone
(267) 422-3950

Specialties & licenses 1

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

Addresses

Primary practice location

12 W Willow Grove Ave
Philadelphia, PA 19118-3952

Mailing address

901 E Pleasant Ave Apt 6a
Wyndmoor, PA 19038-8039
Phone (267) 584-2852

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507248000000",
    "number": "1225548902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E PLEASANT AVE APT 6A",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190388039",
            "telephone_number": "267-584-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W WILLOW GROVE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183952",
            "telephone_number": "267-422-3950",
            "fax_number": "215-543-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULINE'S HOME CARE & MANAGEMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2017-10-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JACKLYNN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "267-422-3950"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 6, 2017; 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.