Organization Active NPI

Golden Bow-Ty Home Health & Companion Care

  • Home Health Agency
  • Huntingdon Valley, PA
National Provider Identifier
1487057501
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
25763601 Issued in PA
Legal business name
GOLDEN BOW-TY HOME HEALTH & COMPANION CARE
Practice address
3103 Philmont Ave
Suite 310
Huntingdon Valley, PA 19006-4263
Phone
(215) 904-5184
Fax
(866) 892-9294
NPI assigned
Oct 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
Mr. Alfonso Tyler, LPN
Title
Founder/Ceo
Phone
(215) 904-5184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 25763601 PA Primary

Addresses

Primary practice location

3103 Philmont Ave
Suite 310
Huntingdon Valley, PA 19006-4263

Mailing address

3103 Philmont Ave
Suite 310
Huntingdon Valley, PA 19006-4263
Phone (215) 904-5184

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1487057501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 PHILMONT AVE",
            "address_2": "SUITE 310",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190064263",
            "telephone_number": "215-904-5184",
            "fax_number": "866-892-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 PHILMONT AVE",
            "address_2": "SUITE 310",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190064263",
            "telephone_number": "215-904-5184",
            "fax_number": "866-892-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN BOW-TY HOME HEALTH & COMPANION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "215-904-5184",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "25763601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.