Active NPI
Khalimah Duncan, HOMECARE AGENCY
- Home Health Agency
- Philadelphia, PA
National Provider Identifier
1508322447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 39873601
- Practice address
- 6118 Pine St
Philadelphia, PA 19143-1010 - Phone
- (215) 317-5002
- NPI assigned
- Feb 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 39873601 | Primary |
Addresses
Primary practice location
6118 Pine St
Philadelphia, PA 19143-1010
Mailing address
6118 Pine St
Philadelphia, PA 19143-1010
Phone (215) 317-5002
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39873601 | Other | PA DEPARTMENT OF HEALTH | |
| 39873601 | Other | PA | PA DEPARTMENT OF HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550188800000",
"number": "1508322447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6118 PINE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191431010",
"telephone_number": "215-317-5002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6118 PINE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191431010",
"telephone_number": "215-317-5002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "KHALIMAH",
"credential": "HOMECARE AGENCY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-15",
"last_updated": "2019-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": "39873601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA DEPARTMENT OF HEALTH",
"identifier": "39873601",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA DEPARTMENT OF HEALTH",
"identifier": "39873601",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.