Illuminated Hearts Primary Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ILLUMINATED HEARTS PRIMARY CARE, LLC

Practice address

3900 Ford Rd
Suite 104E
Philadelphia, PA 19131-2039

Phone

(610) 324-7807

Fax

(215) 921-6715

NPI assigned

Dec 6, 2016

Organization subpart

No

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

Authorized official

Name

Kionna PerryNPI 1104280676

Title

President

Phone

(610) 324-7807

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kionna Perry

  • Nurse's Aide
  • Philadelphia, PA
  • NPI 1104280676
  NPD (past) Authorized official

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1467996702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 FORD RD",
            "address_2": "SUITE 104E",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312039",
            "telephone_number": "610-324-7807",
            "fax_number": "215-921-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 FORD RD",
            "address_2": "SUITE 104E",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312039",
            "telephone_number": "610-324-7807",
            "fax_number": "215-921-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATED HEARTS PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "KIONNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-324-7807"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valentin Ilivitsky, MD
• Nikhil Rao Illa, MD
• William Christopher Illiano, MD
• Lijo Illipparambil
• Illuminated Hearts
• Illuminating Homecare Services LLC
• Kyra Stephanie Illuzzi
• Chika Iloanusi, PSYD.
• Olayiwola Raphael Ilori, CRNP
• Ann Ilufoye, CRNP

• 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 Dec 6, 2016; 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.