Individual provider Active NPI

Marva T Hayes-Pace

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1689277667
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
5941 Cobbs Creek Pkwy
Philadelphia, PA 19143-3025
Phone
(267) 524-1922
NPI assigned
Nov 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 1

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

Addresses

Primary practice location

5941 Cobbs Creek Pkwy
Philadelphia, PA 19143-3025

Mailing address

5941 Cobbs Creek Pkwy
Philadelphia, PA 19143-3025
Phone (267) 524-1922

Other identifiers 1

IdentifierTypeStateIssuer
7160512OtherPAENTITY NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marvahayes@jacobsangelshomecare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jacobs Angels Home Care LLC CurrentSince Dec 12, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1689277667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5941 COBBS CREEK PKWY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433025",
            "telephone_number": "267-524-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5941 COBBS CREEK PKWY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433025",
            "telephone_number": "267-524-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES-PACE",
        "first_name": "MARVA",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENTITY NUMBER",
            "identifier": "7160512",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marvahayes@jacobsangelshomecare.com",
            "affiliation": "N",
            "endpointDescription": "Direct email address to owner/ceo of Jacobs Angels Home Care LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "emails about anything business related to Jacobs Angels Home Care LLC",
            "address_1": "5941 Cobbs Creek Pkwy",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191433025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 20, 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.