Organization Active NPI

Jacobs Angels Home Care LLC

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1619636545
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JACOBS ANGELS HOME CARE LLC
Practice address
5941 Cobbs Creek Pkwy
Philadelphia, PA 19143-3025
Phone
(267) 524-7085
NPI assigned
Dec 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Ms. Marva T Hayes-PaceNPI 1689277667
Title
Owner/Ceo
Phone
(267) 524-7085

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5941 Cobbs Creek Pkwy
Philadelphia, PA 19143-3025

Mailing address

5941 Cobbs Creek Pkwy
Philadelphia, PA 19143-3025
Phone (267) 524-7085

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL jacobsangelshomecare.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1619636545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5941 COBBS CREEK PKWY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433025",
            "telephone_number": "267-524-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5941 COBBS CREEK PKWY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433025",
            "telephone_number": "267-524-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBS ANGELS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "HAYES-PACE",
        "authorized_official_first_name": "MARVA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "267-524-7085",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jacobsangelshomecare.com",
            "affiliation": "N",
            "endpointDescription": "company website and email system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5941 Cobbs Creek Pkwy",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191433025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 8, 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.

Verify at the official NPI Registry.