Country Best Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COUNTRY BEST HOME CARE LLC

Practice address

1613 E Wadsworth Ave # 2
Philadelphia, PA 19150-1024

Phone

(302) 220-7464

NPI assigned

Jul 7, 2023

Organization subpart

No

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

Authorized official

Name

Shanae Dublin Grimes

Title

President

Phone

(302) 220-7464

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1265110498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 E WADSWORTH AVE # 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191501024",
            "telephone_number": "302-220-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 E WADSWORTH AVE # 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191501024",
            "telephone_number": "302-220-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY BEST HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "DUBLIN GRIMES",
        "authorized_official_first_name": "SHANAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-220-7464"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.