Active NPI
Marvelous Home Care Services Inc
- In Home Supportive Care Agency
- Upper Darby, PA
National Provider Identifier
1568092831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- MARVELOUS HOME CARE SERVICES INC
- Practice address
- 117 N Carol Blvd
Upper Darby, PA 19082-1425 - Phone
- (267) 242-1614
- NPI assigned
- Jan 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Akinyemi Solomon Iwajomo
- Title
- Ceo
- Phone
- (267) 242-1614
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
117 N Carol Blvd
Upper Darby, PA 19082-1425
Mailing address
18 Campus Blvd Ste 100
Newtown Square, PA 19073-3240
Phone (267) 242-1614
Other practice location 1
18 Campus Blvd Ste 100
Newtown Square, PA 19073-3240
Phone (267) 242-1614
National Provider Directory
National Provider DirectoryLocations
18 Campus Blvd
Ste 100
Newtown Square, PA 19073
Phone (484) 680-7575
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Aide
- Upper Darby, PA
- NPI 1083244438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634169600000",
"number": "1568092831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 CAMPUS BLVD STE 100",
"city": "NEWTOWN SQUARE",
"state": "PA",
"postal_code": "190733240",
"telephone_number": "267-242-1614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 N CAROL BLVD",
"city": "UPPER DARBY",
"state": "PA",
"postal_code": "190821425",
"telephone_number": "267-242-1614"
}
],
"practiceLocations": [
{
"address_1": "18 Campus Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Newtown Square",
"state": "PA",
"postal_code": "190733240",
"country_code": "US",
"telephone_number": "267-242-1614",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MARVELOUS HOME CARE SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-24",
"last_updated": "2021-10-14",
"certification_date": "2021-10-14",
"status": "A",
"authorized_official_last_name": "IWAJOMO",
"authorized_official_first_name": "AKINYEMI",
"authorized_official_middle_name": "SOLOMON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "267-242-1614",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upper Darby, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.