Organization Active NPI

Pavilion Home Care Inc

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1578320586
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PAVILION HOME CARE INC
Practice address
6726 Frankford Ave Unit 1
Philadelphia, PA 19135-2104
Phone
(267) 577-9024
NPI assigned
Mar 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Mr. Abdalahakem Kurdi
Title
Owner Operator
Phone
(267) 577-9024

Specialties & licenses 1

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

Addresses

Primary practice location

6726 Frankford Ave Unit 1
Philadelphia, PA 19135-2104

Mailing address

1505 N Cadwallader St Unit 301
Philadelphia, PA 19122-3741
Phone (267) 577-9024

National Provider Directory

National Provider Directory

Locations

6726 Frankford Ave
Unit 1
Philadelphia, PA 19135
Phone (267) 577-9024

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1578320586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 N CADWALLADER ST UNIT 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191223741",
            "telephone_number": "267-577-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6726 FRANKFORD AVE UNIT 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191352104",
            "telephone_number": "267-577-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVILION HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "KURDI",
        "authorized_official_first_name": "ABDALAHAKEM",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "267-577-9024",
        "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 Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.