Organization Active NPI

Penndel Home Health and Nursing Services LLC

  • Home Health Agency
  • Penndel, PA
National Provider Identifier
1366295495
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PENNDEL HOME HEALTH AND NURSING SERVICES LLC
Practice address
152 Monroe Ave Ste 201
Penndel, PA 19047-4026
Phone
(215) 970-5764
NPI assigned
Apr 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Tamara Graves
Title
President
Phone
(215) 970-5764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

152 Monroe Ave Ste 201
Penndel, PA 19047-4026

Mailing address

152 Monroe Ave Ste 201
Penndel, PA 19047-4026
Phone (215) 970-5764

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2316338Penndel Home HLTH & Nursing Srvcs LLC152 Monroe Ave, Ste 201, Penndel, PA 19047Certificate of waiverJan 2, 2027

National Provider Directory

National Provider Directory

Locations

152 Monroe Ave
Ste 201
Penndel, PA 19047
Phone (215) 970-5764

NPI Registry JSON

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1366295495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 MONROE AVE STE 201",
            "city": "PENNDEL",
            "state": "PA",
            "postal_code": "190474026",
            "telephone_number": "215-970-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 MONROE AVE STE 201",
            "city": "PENNDEL",
            "state": "PA",
            "postal_code": "190474026",
            "telephone_number": "215-970-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNDEL HOME HEALTH AND NURSING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-970-5764"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penndel, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.