Organization Active NPI

Mariam Home Care Agency LLC

  • Home Health Agency
  • Greenville, PA
National Provider Identifier
1316701253
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MARIAM HOME CARE AGENCY LLC
Practice address
2 Elizabeth St
Greenville, PA 16125-2318
Phone
(516) 424-9571
NPI assigned
Feb 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Winnie Annie Cooper, CNA
Title
Ceo
Phone
(516) 424-9571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2 Elizabeth St
Greenville, PA 16125-2318

Mailing address

2 Elizabeth St
Greenville, PA 16125-2318
Phone (516) 424-9571

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1316701253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ELIZABETH ST",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161252318",
            "telephone_number": "516-424-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ELIZABETH ST",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161252318",
            "telephone_number": "516-424-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAM HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-11",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "WINNIE",
        "authorized_official_middle_name": "ANNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-424-9571",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.