Suma Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

04480501 Issued in PA

Legal business name

SUMA HOME CARE INC

Practice address

2019 Ravenwood Rd
Folcroft, PA 19032-1508

Phone

(484) 206-4544

Fax

(484) 206-4555

NPI assigned

Aug 3, 2011

Last updated

Aug 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ibrahim Suma-Keita Jr.

Title

Executice Director/Owner

Phone

(484) 206-4544

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235417569. Details of each certification follow.

• CCN 398281 Home health agency · Active · Details

Home health agency certification: CCN 398281

Legal name

SUMA HOME CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 1, 2018

Last certification

Feb 1, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Dec 29, 2010 in PA

Enrollment address

23 S Chester Pike
Glenolden, PA 19036-1830

Listed as

Suma Home Care IncCCN 398281 · All quality measures

Ownership

Proprietary

Certified

Feb 1, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Ourai Bangura, CRNP

  • Family Nurse Practitioner
  • Glenolden, PA
  • NPI 1215529227
  NPD (past)

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1235417569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416",
            "city": "FOLCROFT",
            "state": "PA",
            "postal_code": "190320416",
            "telephone_number": "484-206-4544",
            "fax_number": "484-206-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 RAVENWOOD RD",
            "city": "FOLCROFT",
            "state": "PA",
            "postal_code": "190321508",
            "telephone_number": "484-206-4544",
            "fax_number": "484-206-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMA HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "SUMA-KEITA",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "EXECUTICE DIRECTOR/OWNER",
        "authorized_official_telephone_number": "484-206-4544",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "04480501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moriah Rhodes
• Latrelle Robinson
• Angel Scott
• Southeast Delco School District
• Christopher Suah
• Sunshine Pediatric Day Center, Folcroft, LLC
• Sunshine Pediatric Day Center, Folcroft, LLC
• The Nursing Station LLC (The Health Homes)
• Tina's Helping Hands LLC
• Topical Apothecary Group (TAG Pharmacy)

• Home Health Agency in Folcroft, PA
• Providers in Folcroft, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.