PGB Home Healthcare Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PGB HOME HEALTHCARE AGENCY LLC

Practice address

213 E Claremont Rd
Philadelphia, PA 19120-1013

Phone

(267) 678-9350

NPI assigned

Jul 21, 2022

Organization subpart

No

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

Authorized official

Name

Peta Black

Title

President

Phone

(267) 678-9350

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346975539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E CLAREMONT RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191201013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E CLAREMONT RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191201013",
            "telephone_number": "267-678-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PGB HOME HEALTHCARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "PETA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-678-9350"
    },
    "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": []
}

• Alexandra Lauren Pfister, MD
• Stephen Joseph Pflugfelder, MA, LPC
• Hannah Pfohl, MS, RD, LDN
• Craig Francis Pfrommer, DPM
• Hannah Grace Pfrommer, MD
• PGC Endoscopy Center for Excellence, LLC
• Andrew Tuan Quoc Pham
• Angel Pham, PHARM D.
• Annalise Pham
• Anny Pham

• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.