Elder Home Care, LLC.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ELDER HOME CARE, LLC.

Practice address

1735 Market St # 308
Philadelphia, PA 19103-7501

Phone

(917) 699-7442

NPI assigned

Feb 12, 2020

Organization subpart

No

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

Authorized official

Name

Matthew Russo

Title

President

Phone

(917) 699-7442

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1275166704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 MARKET ST # 308",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191037501",
            "telephone_number": "917-699-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 MARKET ST # 308",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191037501",
            "telephone_number": "917-699-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER HOME CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-699-7442"
    },
    "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": []
}

• Adrianne P Elcock Somaru, DMD
• Julia Angela Elcock-Vengen, M.D.
• Eldacare Home Health Services, Inc.
• Lisa M Elden, M.D.
• Elder Care Connect Home Health Services, LLC
• Elder Pal Healthcare Inc
• David E Elder, MD
• Demian Elder, M.D.
• Ryan William Elder
• Elder'Sview, LLC.

• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, 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 Feb 12, 2020; 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.