Maryjo Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

21003601 Issued in PA

Legal business name

MARYJO HOME CARE, LLC

Practice address

5010 Cottage St
Philadelphia, PA 19124-2110

Phone

(215) 667-1288

NPI assigned

May 23, 2011

Last updated

May 23, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mariela C Martinez

Title

Administrator

Phone

(215) 667-1288

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306108800000",
    "number": "1679866750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 COTTAGE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242110",
            "telephone_number": "215-667-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 COTTAGE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242110",
            "telephone_number": "215-667-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYJO HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-23",
        "last_updated": "2011-05-23",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MARIELA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-667-1288",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "21003601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; 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.