Josinia Senior Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

JOSINIA SENIOR HOME CARE

Practice address

152 Monroe Ave Ste 205
Penndel, PA 19047-4026

Phone

(215) 970-5764

Fax

(267) 358-5038

NPI assigned

Apr 21, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Tamara Simone Graves, LPN

Title

Owner

Phone

(215) 970-5764

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1417577214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 MONROE AVE STE 205",
            "city": "PENNDEL",
            "state": "PA",
            "postal_code": "190474026",
            "telephone_number": "215-970-5764",
            "fax_number": "267-358-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 MONROE AVE STE 205",
            "city": "PENNDEL",
            "state": "PA",
            "postal_code": "190474026",
            "telephone_number": "215-970-5764",
            "fax_number": "267-358-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSINIA SENIOR HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "SIMONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-970-5764",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Holloway
• Chad Inker
• Elana Israel
• Francis Jajua
• Laura Jones
• David Juncos
• Kyra Kahlert
• Polina Kats-Kariyanakatte
• Andrew Keenan
• Rasheedat King

• In Home Supportive Care Agency in Penndel, PA
• Providers in Penndel, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.