Organization Active NPI

Stat Homecare Agency LLC

  • In Home Supportive Care Agency
  • Plymouth Meeting, PA
National Provider Identifier
1376211524
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
STAT HOMECARE AGENCY LLC
Practice address
12 Chestnut St
Plymouth Meeting, PA 19462-2704
Phone
(215) 512-0468
NPI assigned
Sep 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
Daeyana Edens
Title
President
Phone
(215) 512-0468

Specialties & licenses 2

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

Addresses

Primary practice location

12 Chestnut St
Plymouth Meeting, PA 19462-2704

Mailing address

12 Chestnut St
Plymouth Meeting, PA 19462-2704
Phone (215) 512-0468

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1376211524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CHESTNUT ST",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622704",
            "telephone_number": "215-512-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CHESTNUT ST",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622704",
            "telephone_number": "215-512-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT HOMECARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "EDENS",
        "authorized_official_first_name": "DAEYANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-512-0468"
    },
    "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 Plymouth Meeting, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.