Organization Active NPI

Beloved Home Care Agency LLC

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1316472020
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
736664 Issued in PA
Legal business name
BELOVED HOME CARE AGENCY LLC
Practice address
323 E Cornwall St
Philadelphia, PA 19134-1607
Phone
(267) 629-0221
NPI assigned
May 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Authorized official

Name
Mr. Kenney Rivera
Title
Manager
Phone
(267) 629-0221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 736664 PA Primary

Addresses

Primary practice location

323 E Cornwall St
Philadelphia, PA 19134-1607

Mailing address

323 E Cornwall St
Philadelphia, PA 19134-1607
Phone (267) 629-0221

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1316472020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 E CORNWALL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341607",
            "telephone_number": "267-629-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 E CORNWALL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341607",
            "telephone_number": "267-629-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELOVED HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "KENNEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "267-629-0221",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "736664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 1, 2017; 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.