Organization Active NPI

Greenleafhomecares

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1659022358
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GREENLEAFHOMECARES
Practice address
5911 Charles St
Philadelphia, PA 19135-3810
Phone
(215) 375-8298
NPI assigned
Jan 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Authorized official

Name
Dorcas Oluwatoyin Fabode
Title
Director of Nursing
Phone
(215) 375-8298

Specialties & licenses 1

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

Addresses

Primary practice location

5911 Charles St
Philadelphia, PA 19135-3810

Mailing address

5911 Charles St
Philadelphia, PA 19135-3810
Phone (215) 375-8298

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1659022358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 CHARLES ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191353810",
            "telephone_number": "215-375-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 CHARLES ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191353810",
            "telephone_number": "215-375-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLEAFHOMECARES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "FABODE",
        "authorized_official_first_name": "DORCAS",
        "authorized_official_middle_name": "OLUWATOYIN",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "215-375-8298"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "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 Jan 13, 2022; 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.