Pennwoods Home Health Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PENNWOODS HOME HEALTH CARE SERVICES LLC

Practice address

7701 Lindbergh Blvd Apt 1702
Philadelphia, PA 19153-2120

Phone

(267) 713-7032

Fax

(215) 397-4939

NPI assigned

Jul 23, 2019

Organization subpart

No

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

Authorized official

Name

Wali Abdul Cooper

Title

Administrator

Phone

(267) 596-6607

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1437702966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 LINDBERGH BLVD APT 1702",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191532120",
            "telephone_number": "267-596-6607",
            "fax_number": "215-397-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 LINDBERGH BLVD APT 1702",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191532120",
            "telephone_number": "267-713-7032",
            "fax_number": "215-397-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNWOODS HOME HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "WALI",
        "authorized_official_middle_name": "ABDUL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "267-596-6607"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, 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 23, 2019; 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.