Organization Active NPI

Honest Elite Caregivers Inc.

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1326791823
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HONEST ELITE CAREGIVERS INC.
Practice address
5339 Pulaski Ave
Philadelphia, PA 19144-3914
Phone
(610) 712-0671
NPI assigned
Feb 3, 2022
Last updated
Aug 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Asia Brisbon
Title
Vice President/Administrator
Phone
(610) 712-0671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

5339 Pulaski Ave
Philadelphia, PA 19144-3914

Mailing address

1845 Fox Chase Rd
Philadelphia, PA 19152
Phone (610) 712-0671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230628000720 PA Part A Provider - Home Health Agency 9739547480 Practice locations: Philadelphia, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326791823. Details of each certification follow.

Home health agency certification: CCN 398354

Legal name
HONEST ELITE CAREGIVERS INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 9, 2023
Last certification
Dec 27, 2023
Organization structure
CorporationProprietary
Incorporated
Sep 3, 2021 in PA
Enrollment address
5339 Pulaski Ave
Philadelphia, PA 19144-3914

Care Compare: Home health agency

Medicare Care Compare
Listed as
Honest Elite Caregivers, Inc.CCN 398354 · All quality measures
Ownership
-
Certified
Nov 9, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

22 S Macdade Blvd
Glenolden, PA 19036
Phone (610) 712-0671

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Asia Brisbon Individual 5% Or Greater Direct Ownership InterestVice President Sep 3, 2021 5%
Corporate DirectorVice President Sep 3, 2021 25%
Sharif Thomas Individual 5% Or Greater Direct Ownership InterestSecretary Sep 3, 2021 5%
Corporate DirectorSecretary Sep 3, 2021 25%
Diamond Watson Individual 5% Or Greater Direct Ownership InterestPresident Sep 3, 2021 90%
Corporate DirectorPresident Sep 3, 2021 25%
W-2 Managing EmployeePresident Sep 3, 2021 100%
Justin John Individual Corporate DirectorTreasurer Sep 3, 2021 25%

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1326791823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 FOX CHASE RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19152",
            "telephone_number": "610-712-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5339 PULASKI AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443914",
            "telephone_number": "610-712-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONEST ELITE CAREGIVERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "BRISBON",
        "authorized_official_first_name": "ASIA",
        "authorized_official_title_or_position": "VICE PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "610-712-0671"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.