Restorer Home Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

RESTORER HOME HEALTH SERVICES LLC

Practice address

10065 Sandmeyer LN Ste 301
Philadelphia, PA 19116-3528

Phone

(267) 343-8505

Fax

(267) 343-7976

NPI assigned

Aug 21, 2017

Organization subpart

No

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

Authorized official

Name

Wale Davis

Title

Administrator/Owner

Phone

(267) 343-8505

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1508382557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10065 SANDMEYER LN STE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163528",
            "telephone_number": "267-343-8505",
            "fax_number": "267-343-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10065 SANDMEYER LN STE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163528",
            "telephone_number": "267-343-8505",
            "fax_number": "267-343-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORER HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-21",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "WALE",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "267-343-8505"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.