Immaculate Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IMMACULATE CARE

Practice address

1300 Pennsylvania Ave
Oreland, PA 19075-1418

Phone

(215) 252-6160

NPI assigned

Apr 22, 2014

Organization subpart

No

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

Authorized official

Name

Demetrius Ellis Ware

Title

Chief Executive Officer

Phone

(215) 252-6160

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1679993273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 PENNSYLVANIA AVE",
            "city": "ORELAND",
            "state": "PA",
            "postal_code": "190751418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 PENNSYLVANIA AVE",
            "city": "ORELAND",
            "state": "PA",
            "postal_code": "190751418",
            "telephone_number": "215-252-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "DEMETRIUS",
        "authorized_official_middle_name": "ELLIS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "215-252-6160"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taryn Fine, M.S. CCC-SLP
• Renee Hartey, M.S., CCC-SLP
• Lauren Heller
• Meghann Hernandez, M. ED.,BSL
• Rose Hoffer
• John D. Ivey Jr., RPH
• John Sweeney Physical Therapy
• Jennifer Keller, LCSW
• Deborah Jeanne Kelly
• Keystone Family Lactation LLC

• All providers in Oreland, PA
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.