Organization Active NPI

Waben Home Care James St LLC

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1346031424
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WABEN HOME CARE JAMES ST LLC
Practice address
9601 James St
Philadelphia, PA 19114-3017
Phone
(267) 343-8487
NPI assigned
May 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Walter Awackben
Title
President
Phone
(267) 343-8487

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

9601 James St
Philadelphia, PA 19114-3017

Mailing address

9601 James St
Philadelphia, PA 19114-3017
Phone (267) 343-8487

National Provider Directory

National Provider Directory

Locations

9601 James St
Philadelphia, PA 19114
Phone (267) 343-8487

NPI Registry JSON

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1346031424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 JAMES ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191143017",
            "telephone_number": "267-343-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 JAMES ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191143017",
            "telephone_number": "267-343-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABEN HOME CARE JAMES ST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "AWACKBEN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-343-8487"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "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 May 16, 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.