Active NPI
Aza Sims
- Home Health Agency
- Philadelphia, PA
National Provider Identifier
1548869746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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 | 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
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
| Organization | Specialty | Status | New 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.