Individual provider Active NPI

Aza Sims

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1548869746
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
30 S 15TH St FL 15
Philadelphia, PA 19102-4806
Phone
(215) 964-4335
NPI assigned
Oct 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

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

Addresses

Primary practice location

30 S 15TH St FL 15
Philadelphia, PA 19102-4806

Mailing address

30 S 15TH St FL 15
Philadelphia, PA 19102-4806
Phone (215) 582-4285

Other practice location 1

30 S 15th St Fl 15
Philadelphia, PA 19102-4806

Other practice location 2

30 S 15th St Fl 15
Philadelphia, PA 19102-4806
Phone (215) 964-4335

Other names 1

  • Good Samaritan Home Care Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Home Care Home Health Current Accepting new patients

Locations

30 S 15th St
Fl 15
Philadelphia, PA 19102
Phone (215) 258-4285

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1548869746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S 15TH ST FL 15",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024806",
            "telephone_number": "215-582-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S 15TH ST FL 15",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024806",
            "telephone_number": "215-964-4335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 S 15th St Fl 15",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191024806",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 S 15th St Fl 15",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191024806",
            "country_code": "US",
            "telephone_number": "215-964-4335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMS",
        "first_name": "AZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GOOD",
            "last_name": "SAMARITAN HOME CARE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jan 26, 2022; 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.