Healthy Aging Home Care Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEALTHY AGING HOME CARE AGENCY

Practice address

3009 N Front St
Philadelphia, PA 19133-4202

Phone

(267) 225-2284

NPI assigned

Apr 13, 2020

Organization subpart

No

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

Authorized official

Name

Kelvina Coles, RRT

Title

Business Owner

Phone

(267) 225-2284

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1467071118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 DELMAR ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191284502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 N FRONT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191334202",
            "telephone_number": "267-225-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY AGING HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "COLES",
        "authorized_official_first_name": "KELVINA",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "267-225-2284",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "healthyaging.hca@gmail.com",
            "affiliation": "N",
            "address_1": "3009 N Front St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191334202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.