Active NPI
Effraim Home Care Agency LLC
- Home Health Agency
- Elkins Park, PA
National Provider Identifier
1457720385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 28453601
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
780 W Lancaster Ave
Ste 204
Bryn Mawr, PA 19010
Phone (215) 826-7422
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jul 7, 2022 | Change of Ownership | Sigma Home Healthcare Inc |
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Philadelphia, PA
- NPI 1902586043
-
- Professional Counselor
- Philadelphia, PA
- NPI 1912655341
-
- Psychiatric/Mental Health Nurse Practitioner
- Horsham, PA
- NPI 1760838783
-
- Professional Counselor
- Lansdowne, PA
- NPI 1881229169
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.