Organization Active NPI

Homesense LLC

  • In Home Supportive Care Agency
  • Southampton, PA
National Provider Identifier
1548855679
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HOMESENSE LLC
Practice address
1300 Industrial Blvd Ste B3
Southampton, PA 18966-4029
Phone
(217) 275-7921
NPI assigned
Mar 1, 2021
Last updated
Mar 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Sergey Nefedov
Title
Owner
Phone
(215) 275-7921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

1300 Industrial Blvd Ste B3
Southampton, PA 18966-4029

Mailing address

809 Barnswallow LN
Huntingdon Valley, PA 19006-2110
Phone (267) 307-0016

Other practice location 1

809 Barnswallow Ln
Huntingdon Valley, PA 19006-2110
Phone (267) 307-0016

National Provider Directory

National Provider Directory

Locations

1300 Industrial Blvd
Ste B3
Southampton, PA 18966
Phone (217) 275-7921

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1548855679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 BARNSWALLOW LN",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190062110",
            "telephone_number": "267-307-0016",
            "fax_number": "215-689-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 INDUSTRIAL BLVD STE B3",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664029",
            "telephone_number": "217-275-7921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 Barnswallow Ln",
            "address_purpose": "LOCATION",
            "city": "Huntingdon Valley",
            "state": "PA",
            "postal_code": "190062110",
            "country_code": "US",
            "telephone_number": "267-307-0016",
            "fax_number": "215-689-1904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOMESENSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "NEFEDOV",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-275-7921"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.