Waben Home Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

30723601 Issued in PA

Legal business name

WABEN HOME CARE, INC.

Practice address

6309 Glenloch St
Philadelphia, PA 19135-3203

Phone

(856) 397-9427

NPI assigned

Jul 15, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Walter A Awackben

Title

President/Ceo

Phone

(856) 397-9427

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1235582198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 GLENLOCH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191353203",
            "telephone_number": "856-397-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6309 GLENLOCH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191353203",
            "telephone_number": "856-397-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABEN HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "AWACKBEN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "856-397-9427",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "30723601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shreya Aman Vyas, DO
• Vytaliz Medical PC
• W.M.K. Associates, LTD.
• Christine Wabals, ASSOCIATES DEGREE
• Waben Home Care James St LLC
• Suresh G. Wable, M.D.
• Meghan Naomi Wambaire Wachira
• Erin E Wachlin, BSN,RN
• Heather Wachtel, MD
• Wendy L. Wachter-Schutz, OTD

• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, 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 Jul 15, 2016; 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.