Organization Active NPI

Life Home Care

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1366291544
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIFE HOME CARE
Practice address
2622 S Shields St
Philadelphia, PA 19142-2714
Phone
(267) 777-1360
NPI assigned
May 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Authorized official

Name
Matenne Conde, FEMALENPI 1235988684
Title
Ceo
Phone
(267) 777-1360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2622 S Shields St
Philadelphia, PA 19142-2714

Mailing address

2622 S Shields St
Philadelphia, PA 19142-2714
Phone (267) 777-1360

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1366291544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 S SHIELDS ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191422714",
            "telephone_number": "267-777-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 S SHIELDS ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191422714",
            "telephone_number": "267-777-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-18",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "CONDE",
        "authorized_official_first_name": "MATENNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-777-1360",
        "authorized_official_credential": "FEMALE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 24, 2024; 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.