Active NPI
Support Beam Home Care LLC
- In Home Supportive Care Agency
- Philadelphia, PA
National Provider Identifier
1619785037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- SUPPORT BEAM HOME CARE LLC
- Practice address
- 9018 Cloverly Rd
Philadelphia, PA 19136-1104 - Phone
- (919) 923-5288
- NPI assigned
- Dec 19, 2024
- 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
- Elizabeth Adjei
- Title
- President
- Phone
- (919) 923-5288
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
9018 Cloverly Rd
Philadelphia, PA 19136-1104
Mailing address
9018 Cloverly Rd
Philadelphia, PA 19136-1104
Phone (919) 923-5288
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734566400000",
"number": "1619785037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9018 CLOVERLY RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191361104",
"telephone_number": "919-923-5288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9018 CLOVERLY RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191361104",
"telephone_number": "919-923-5288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPPORT BEAM HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-19",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A",
"authorized_official_last_name": "ADJEI",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-923-5288"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Michelle L Suplick, CRNA
- Gregory Edward Supple, MD
- Christine Supplee, CRNP
- Supplemental Home Healthcare, LLC
- Supplying With Care
- Supportive Behavioral Resources, Inc.
- Supportive Care Solutions, LLC
- Supportive Home Care Services LLC
- Supportive Older Women'S Network
- Supportive Transpotation of Philadelphia Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.