Organization Active NPI

Effraim Home Care Agency LLC

  • Home Health Agency
  • Elkins Park, PA
National Provider Identifier
1457720385
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
28453601 Issued in PA
Legal business name
EFFRAIM HOME CARE AGENCY LLC
Practice address
2001A South John Russell Circle
Elkins Park, PA 19027
Phone
(215) 826-7422
Fax
(215) 239-3038
NPI assigned
Sep 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Authorized official

Name
Oluwaseyi Adeoye, RN MPH
Title
Administrator
Phone
(215) 826-7422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 28453601 PA Primary

Addresses

Primary practice location

2001A South John Russell Circle
Elkins Park, PA 19027

Mailing address

150 Monument Rd Ste 207
Bala Cynwyd, PA 19004-1725
Phone (215) 826-7422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

780 W Lancaster Ave
Ste 204
Bryn Mawr, PA 19010
Phone (215) 826-7422

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jul 7, 2022 Change of OwnershipThis provider was the seller Sigma Home Healthcare IncCCN 398294, PA, NPI 1144827429

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1457720385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MONUMENT RD STE 207",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041725",
            "telephone_number": "215-826-7422",
            "fax_number": "215-239-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001A SOUTH JOHN RUSSELL CIRCLE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "19027",
            "telephone_number": "215-826-7422",
            "fax_number": "215-239-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFRAIM HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "ADEOYE",
        "authorized_official_first_name": "OLUWASEYI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-826-7422",
        "authorized_official_credential": "RN MPH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "28453601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

Verify at the official NPI Registry.