Organization Active NPI

Greenlee Home Care Services

  • Home Health Agency
  • Bala Cynwyd, PA
National Provider Identifier
1477186195
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GREENLEE HOME CARE SERVICES
Practice address
2 Bala PLZ Ste 300
Bala Cynwyd, PA 19004-1512
Phone
(877) 701-4443
NPI assigned
Feb 20, 2020
Last updated
Sep 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Authorized official

Name
Wykia Green
Title
Owner
Phone
(215) 904-2464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2 Bala PLZ Ste 300
Bala Cynwyd, PA 19004-1512

Mailing address

PO Box 2
Lansdowne, PA 19050-0002

Other identifiers 1

IdentifierTypeStateIssuer
103685212-0001MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1477186195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190500002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BALA PLZ STE 300",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041512",
            "telephone_number": "877-701-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLEE HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "WYKIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-904-2464"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103685212-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 29, 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.