Organization Active NPI

LSK Home Care, LLC

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1679106587
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LSK HOME CARE, LLC
Practice address
5923 N 5TH St
Philadelphia, PA 19120-1823
Phone
(267) 713-2971
NPI assigned
Feb 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Authorized official

Name
Ms. Mai Huynh, RN
Title
Administrator
Phone
(267) 713-2971

Specialties & licenses 1

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

Addresses

Primary practice location

5923 N 5TH St
Philadelphia, PA 19120-1823

Mailing address

216 Emerson Ave
Moorestown, NJ 08057-1509
Phone (267) 713-2971

Other identifiers 1

IdentifierTypeStateIssuer
103659740-0001MedicaidPA

National Provider Directory

National Provider Directory

Locations

5923 N 5th St
Philadelphia, PA 19120
Phone (267) 713-2971

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1679106587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 EMERSON AVE",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571509",
            "telephone_number": "267-713-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5923 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191201823",
            "telephone_number": "267-713-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSK HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "MAI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "267-713-2971",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103659740-0001",
            "state": "PA"
        }
    ],
    "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 19, 2020; 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.