Ismart Home Care

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

ISMART HOME CARE

Practice address

100 S Juniper St
Philadelphia, PA 19107-2703

Phone

(855) 476-2780

NPI assigned

Sep 15, 2023

Last updated

Dec 22, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

ISMARTHOMECAREAs reported in NPPES

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

Authorized official

Name

Tywan Mata, MSW

Title

Ceo

Phone

(855) 476-2780

Specialties & licenses 1

Addresses

Part of

Ismarthomecare

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734825600000",
    "number": "1407634173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 THOMPSON AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072032810",
            "telephone_number": "908-445-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S JUNIPER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072703",
            "telephone_number": "855-476-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISMART HOME CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ISMARTHOMECARE",
        "enumeration_date": "2023-09-15",
        "last_updated": "2024-12-22",
        "certification_date": "2024-12-22",
        "status": "A",
        "authorized_official_last_name": "MATA",
        "authorized_official_first_name": "TYWAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-476-2780",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Isley-Clark, LPC
• Anna Mae Ismael
• Mayada Ismail, MD
• Omar Ibnee Ismail
• Sardora Ismailova, DMD
• Fraz A Ismat, M.D.
• Ismile Dental Group, PC
• Ismile Dental Team PC
• Nailah Isoke
• Nefertiti Isoke, RN, LCSW, CRNP

• Home Health Registered Nurse in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2024; 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.