NPIMap

Organization Active NPI

Maple Leaf Home Care Services LLC

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1295393122
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MAPLE LEAF HOME CARE SERVICES LLC
Doing business as
Maple Leaf Home Care Services LLC
Practice address
6339 Algon Ave
Philadelphia, PA 19111-5802
Phone
(267) 815-8544
NPI assigned
Jun 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Authorized official

Name
Dr. Emmanuel MarreroNPI 1467010389
Title
Ceo
Phone
(267) 388-7434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X

Addresses

Primary practice location

6339 Algon Ave
Philadelphia, PA 19111-5802

Mailing address

6339 Algon Ave
Philadelphia, PA 19111-5802
Phone (267) 815-8544

Other identifiers 1

IdentifierTypeStateIssuer
3864MedicaidPA

Other names 1

  • Maple Leaf Home Care Services LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1295393122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 ALGON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191115802",
            "telephone_number": "267-815-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6339 ALGON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191115802",
            "telephone_number": "267-815-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE LEAF HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-388-7434",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3864",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Leaf Home Care Services LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maple Leaf Home Care Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 20, 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.