Citadel Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

18613601 Issued in PA

Legal business name

CITADEL HOME CARE, LLC

Practice address

130 S Easton Rd Ste 200
Glenside, PA 19038-4015

Phone

(215) 233-6231

Fax

(215) 395-6246

NPI assigned

May 24, 2018

Last updated

Mar 22, 2019By 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

Cheskel Spitzer

Title

Ceo

Phone

(347) 232-4641

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1245721364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GATES AVE STE 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112216296",
            "telephone_number": "917-805-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S EASTON RD STE 200",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190384015",
            "telephone_number": "215-233-6231",
            "fax_number": "215-395-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITADEL HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "SPITZER",
        "authorized_official_first_name": "CHESKEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-232-4641"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "18613601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025984080002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Junaid K. Chaudhry, D.M.D.
• Child and Family Focus
• Child and Family Focus, Inc.
• Janice Chon
• Davonyaa Christy
• Citadel Home Care, LLC
• Andrea Clark
• Heather E Clark, DMD
• Kelley Ann Coady, LCSW, HSV
• Justin Cobb

• In Home Supportive Care Agency in Glenside, PA
• Providers in Glenside, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.