Healthcare Licensed Personnel, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HEALTHCARE LICENSED PERSONNEL, LLC

Practice address

406 Arthur St
Koppel, PA 16136-1159

Phone

(724) 200-2214

Fax

(724) 200-2214

NPI assigned

Jun 18, 2025

Last updated

Jun 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerry Jenkins

Title

Business Manager

Phone

(724) 200-2214

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1316834906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 587",
            "city": "KOPPEL",
            "state": "PA",
            "postal_code": "161360587",
            "telephone_number": "724-200-2214",
            "fax_number": "724-200-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 ARTHUR ST",
            "city": "KOPPEL",
            "state": "PA",
            "postal_code": "161361159",
            "telephone_number": "724-200-2214",
            "fax_number": "724-200-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE LICENSED PERSONNEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "724-200-2214"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.