Aging and Diverse Home Healthcare Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

RN527652L Issued in PA

Legal business name

AGING AND DIVERSE HOME HEALTHCARE SERVICES LLC

Practice address

5537 Germantown Ave FL 1
Philadelphia, PA 19144-2225

Phone

(215) 991-6222

NPI assigned

Jan 28, 2009

Last updated

May 10, 2021By 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

Theresa Williams, RN

Title

Administrator

Phone

(215) 991-6222

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1326286485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5537 GERMANTOWN AVE FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442225",
            "telephone_number": "215-991-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5537 GERMANTOWN AVE FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442225",
            "telephone_number": "215-991-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGING AND DIVERSE HOME HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-991-6222",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "RN527652L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA ID",
            "identifier": "0019540140002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019540140003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shagun Aggarwal, M.D.
• Varun Aggarwal, M.D.
• Allison Aggon, D.O.
• Diana Ngozi Aghadima
• Aging and Disable Social Support Network Inc
• Aging Angels LLC
• Aging in Peace Home Care LLC
• Aging With Care Inc
• Aging With Comfort
• Aging With Serenity LLC

• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.