Pristine Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

30743601 Issued in PA

Legal business name

PRISTINE HOME CARE LLC

Practice address

2210 Michener St
Philadelphia, PA 19115-4320

Phone

(215) 969-4343

Fax

(215) 969-5671

NPI assigned

Aug 12, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Josh George

Title

Director

Phone

(267) 255-0203

Specialties & licenses 2

Addresses

Other names 1

• Philadelphia Pristine Services Doing business as

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1376097865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 MICHENER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154320",
            "telephone_number": "215-969-4343",
            "fax_number": "215-969-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 MICHENER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154320",
            "telephone_number": "215-969-4343",
            "fax_number": "215-969-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISTINE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "267-255-0203",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "30743601",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "30743601",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philadelphia Pristine Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.