Ekedi Home Health Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EKEDI HOME HEALTH CARE LLC

Practice address

813 Green Valley Dr
Philadelphia, PA 19128-1010

Phone

(215) 833-3312

NPI assigned

Mar 9, 2023

Last updated

Mar 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chizoba Stake

Title

President

Phone

(215) 833-3312

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1598465247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 GREEN VALLEY DR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281010",
            "telephone_number": "215-833-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 GREEN VALLEY DR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281010",
            "telephone_number": "215-833-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKEDI HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "STAKE",
        "authorized_official_first_name": "CHIZOBA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-833-3312"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.