Organization Active NPI

Mahogany Health Care

  • Community Based Hospice Care Agency
  • Philadelphia, PA
National Provider Identifier
1386712677
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MAHOGANY HEALTH CARE
Practice address
270 Geiger Rd
Suite F
Philadelphia, PA 19115-1016
Phone
(215) 237-4503
Fax
(215) 464-7308
NPI assigned
Dec 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dwayne David Royster
Title
President
Phone
(215) 237-4503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

270 Geiger Rd
Suite F
Philadelphia, PA 19115-1016

Mailing address

270 Geiger Rd
Suite F
Philadelphia, PA 19115-1016
Phone (215) 237-4503

National Provider Directory

National Provider Directory

Locations

270 Geiger Rd
Bldg F
Philadelphia, PA 19115
Phone (215) 237-4503

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": "1165104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386712677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 GEIGER RD",
            "address_2": "SUITE F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151016",
            "telephone_number": "215-237-4503",
            "fax_number": "215-464-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 GEIGER RD",
            "address_2": "SUITE F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151016",
            "telephone_number": "215-237-4503",
            "fax_number": "215-464-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHOGANY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROYSTER",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-237-4503",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "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 Aug 22, 2020; 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.