Classy Comfort Home Care Agency, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CLASSY COMFORT HOME CARE AGENCY, LLC.

Practice address

2824 Cottman Ave Ste 12
Philadelphia, PA 19149-1400

Phone

(347) 767-9077

NPI assigned

Jan 15, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Souvener Souvenance

Title

President

Phone

(347) 767-9077

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1639940943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 COTTMAN AVE STE 12",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491400",
            "telephone_number": "347-767-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 COTTMAN AVE STE 12",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491400",
            "telephone_number": "347-767-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSY COMFORT HOME CARE AGENCY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "SOUVENANCE",
        "authorized_official_first_name": "SOUVENER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-767-9077",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Philadelphia, PA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.

Verify at the official NPI Registry.