Immense Providers Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

IMMENSE PROVIDERS HOME CARE LLC

Practice address

1 International PLZ Ste 550
Philadelphia, PA 19113-1528

Phone

(672) 593-9572

NPI assigned

Jun 27, 2022

Last updated

Jun 27, 2022By 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

Shakeerah Johnson

Title

President

Phone

(267) 259-3957

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1699407981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INTERNATIONAL PLZ STE 550",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191131528",
            "telephone_number": "215-617-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INTERNATIONAL PLZ STE 550",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191131528",
            "telephone_number": "672-593-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMENSE PROVIDERS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHAKEERAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-259-3957"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Immaculate Mary Home
• Immanuel Care Support Services
• Immediate Home Care LLC
• Immediate Home Care LLC (Immediate Homecare and Hospice)
• Immediate Homecare & Hospice
• Phyllis Ann Immitti, DMD
• Impact Community Medicine PA
• Impax Solutions Incorporated
• Impeccable Home Care Inc
• David Imperatore

• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.