Active NPI
Greenlee Home Care Services
- Home Health Agency
- Bala Cynwyd, PA
National Provider Identifier
1477186195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2020
- 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
- Wykia Green
- Title
- Owner
- Phone
- (215) 904-2464
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103685212-0001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI 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.