Active NPI
Honest Elite Caregivers Inc.
- Home Health Agency
- Philadelphia, PA
National Provider Identifier
1326791823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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.
- Ownership
- -
- Certified
- Nov 9, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Asia Brisbon | 5% Or Greater Direct Ownership Interest | Sep 3, 2021 | 5% |
| Corporate Director | Sep 3, 2021 | 25% | |
| Sharif Thomas | 5% Or Greater Direct Ownership Interest | Sep 3, 2021 | 5% |
| Corporate Director | Sep 3, 2021 | 25% | |
| Diamond Watson | 5% Or Greater Direct Ownership Interest | Sep 3, 2021 | 90% |
| Corporate Director | Sep 3, 2021 | 25% | |
| W-2 Managing Employee | Sep 3, 2021 | 100% | |
| Justin John | Corporate Director | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.