Perfect Match Health and Wellness

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

PERFECT MATCH HEALTH AND WELLNESS

Practice address

4833 Pulaski Ave
Philadelphia, PA 19144-4128

Phone

(267) 206-9655

NPI assigned

Aug 25, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Kim Darnette Brew, RN

Title

Owner

Phone

(267) 206-9655

Specialties & licenses 1

Addresses

Other names 1

• Perfect Match Health and Wellness Group Former legal business name

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1285353995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 PULASKI AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444128",
            "telephone_number": "267-206-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 PULASKI AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444128",
            "telephone_number": "267-206-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT MATCH HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "BREW",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "DARNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-206-9655",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perfect Match Health and Wellness Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Nursing Care Agency in Philadelphia, PA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.