Organization Active NPI

Penn Asian Senior Services, Inc.

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1629017561
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PENN ASIAN SENIOR SERVICES, INC.
Practice address
6926 Old York Rd
Philadelphia, PA 19126-2108
Phone
(215) 572-1234
Fax
(215) 572-1102
NPI assigned
Jun 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Authorized official

Name
Ms. Im Ja Choi, MS
Title
Executive Director
Phone
(215) 572-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6926 Old York Rd
Philadelphia, PA 19126-2108

Mailing address

6926 Old York Rd
Philadelphia, PA 19126-2108
Phone (215) 572-1234

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2161576Penn Asian Senior Services, Inc6926 Old York Road, Philadelphia, PA 19126Certificate of waiverFeb 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Penn Asian Senior Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6926 Old York Rd
Philadelphia, PA 19126
Phone (215) 572-1234

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1629017561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6926 OLD YORK RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191262108",
            "telephone_number": "215-572-1234",
            "fax_number": "215-572-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6926 OLD YORK RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191262108",
            "telephone_number": "215-572-1234",
            "fax_number": "215-572-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN ASIAN SENIOR SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "IM JA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-572-1234",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.