Innovative Senior Care Home Health of Philadelphia LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2580501 Issued in PA

Legal business name

INNOVATIVE SENIOR CARE HOME HEALTH OF PHILADELPHIA LLC

Doing business as

Brookdale Home Health Philadelphia

Practice address

995 Old Eagle School Rd
Suite 314
Wayne, PA 19087-1709

Phone

(610) 265-2846

Fax

(610) 265-2847

NPI assigned

Jun 18, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas Gachassin III

Title

Executive Vice President

Phone

(337) 233-1307

Specialties & licenses 1

Addresses

Other names 1

• Brookdale Home Health Philadelphia Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Arc Therapy Services LLC

  • Community Based Hospice Care Agency
  • Independence, MO
  • NPI 1386072155

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1386965879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-443-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 OLD EAGLE SCHOOL RD",
            "address_2": "SUITE 314",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871709",
            "telephone_number": "610-265-2846",
            "fax_number": "610-265-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SENIOR CARE HOME HEALTH OF PHILADELPHIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-18",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "GACHASSIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "2580501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale Home Health Philadelphia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Wayne, PA
• Providers in Wayne, 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 Jul 1, 2022; 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.