Organization Active NPI

Mda Care LLC

  • Home Health Agency
  • Bala Cynwyd, PA
National Provider Identifier
1457847733
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
310636601 Issued in PA
Legal business name
MDA CARE LLC
Doing business as
Affectionate Reliable Care
Practice address
301 E City Line Ave Ste 250
Bala Cynwyd, PA 19004-1710
Phone
(610) 991-7799
Fax
(610) 675-2761
NPI assigned
Jul 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Authorized official

Name
Rimona Friedberg
Title
Business/Financial Manager
Phone
(610) 766-1257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 310636601 PA Primary

Addresses

Primary practice location

301 E City Line Ave Ste 250
Bala Cynwyd, PA 19004-1710

Mailing address

301 E City Line Ave Ste 250
Bala Cynwyd, PA 19004-1710
Phone (610) 991-7799

Other names 1

  • Affectionate Reliable Care Doing business as

National Provider Directory

National Provider Directory

Locations

301 E City Line Ave
Ste 250
Bala Cynwyd, PA 19004
Phone (610) 664-6565

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1457847733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E CITY LINE AVE STE 250",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041710",
            "telephone_number": "610-991-7799",
            "fax_number": "610-675-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E CITY LINE AVE STE 250",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041710",
            "telephone_number": "610-991-7799",
            "fax_number": "610-675-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDA CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "FRIEDBERG",
        "authorized_official_first_name": "RIMONA",
        "authorized_official_title_or_position": "BUSINESS/FINANCIAL MANAGER",
        "authorized_official_telephone_number": "610-766-1257"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "310636601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affectionate Reliable Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.