Organization Active NPI

Medallion Health Care LLC

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1235903832
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MEDALLION HEALTH CARE LLC
Practice address
1614 W Porter St
Philadelphia, PA 19145-4537
Phone
(267) 688-3100
NPI assigned
Nov 14, 2023
Last updated
Jan 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Steven S Jamshidi
Title
President
Phone
(267) 688-3100

Specialties & licenses 1

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

Addresses

Primary practice location

1614 W Porter St
Philadelphia, PA 19145-4537

Mailing address

1614 W Porter St
Philadelphia, PA 19145-4537
Phone (267) 688-3100

National Provider Directory

National Provider Directory
Tax ID family
Medallion Health Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1614 W Porter St
Philadelphia, PA 19145
Phone (267) 688-3100

NPI Registry JSON

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1235903832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 W PORTER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454537",
            "telephone_number": "267-688-3100",
            "fax_number": "215-689-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 W PORTER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454537",
            "telephone_number": "267-688-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDALLION HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "JAMSHIDI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-688-3100"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "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 Jan 15, 2026; 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.