Organization Active NPI

Peabody'S in Home Angels LLC

  • In Home Supportive Care Agency
  • Chester, PA
National Provider Identifier
1639760341
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PEABODY'S IN HOME ANGELS LLC
Practice address
910 Clover LN
Chester, PA 19013-1619
Phone
(610) 836-2366
NPI assigned
Jan 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Ronnisha D. Williams
Title
Owner/Administrator
Phone
(610) 836-2366

Specialties & licenses 1

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

Addresses

Primary practice location

910 Clover LN
Chester, PA 19013-1619

Mailing address

1830 Cherry St
Upper Chichester, PA 19061-2722
Phone (610) 836-2366

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL peabodysinhomeangels@gmail.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1639760341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 CHERRY ST",
            "city": "UPPER CHICHESTER",
            "state": "PA",
            "postal_code": "190612722",
            "telephone_number": "610-836-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 CLOVER LN",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190131619",
            "telephone_number": "610-836-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEABODY'S IN HOME ANGELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RONNISHA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "610-836-2366"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "peabodysinhomeangels@gmail.com",
            "affiliation": "N",
            "endpointDescription": "direct",
            "address_1": "910 Clover Ln",
            "city": "Chester",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190131619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.