Nirvana Comprehensive Care Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

NIRVANA COMPREHENSIVE CARE SERVICES LLC

Doing business as

HomeWell Care Services

Practice address

1505 N Felton St
Philadelphia, PA 19151-3808

Phone

(215) 834-9013

NPI assigned

Nov 22, 2022

Organization subpart

No

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

Authorized official

Name

Monica M Jones

Title

Owner

Phone

(215) 834-9013

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HomeWell Care Services Doing business as

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1417666058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 N FELTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513808",
            "telephone_number": "215-834-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 N FELTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513808",
            "telephone_number": "215-834-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRVANA COMPREHENSIVE CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-834-9013"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253Z00000X",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeWell Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Anne Noelle Nisenzon, PH.D.
• Wataru Nishida, MS, NCC, LPC

• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, 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 May 3, 2023; 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.