Active NPI
Kingsway Homecare Agency, LLC
- In Home Supportive Care Agency
- Wyncote, PA
National Provider Identifier
1699491563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- KINGSWAY HOMECARE AGENCY, LLC
- Practice address
- 103 Old Cedarbrook Rd
Wyncote, PA 19095-2043 - Phone
- (215) 802-6777
- NPI assigned
- Oct 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela M King
- Title
- Director
- Phone
- (215) 885-1816
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Preferred Provider Organization | 305R00000X |
Addresses
Primary practice location
103 Old Cedarbrook Rd
Wyncote, PA 19095-2043
Mailing address
PO Box 1173
Glenside, PA 19038-6173
Phone (215) 885-1816
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729382400000",
"number": "1699491563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1173",
"city": "GLENSIDE",
"state": "PA",
"postal_code": "190386173",
"telephone_number": "215-885-1816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 OLD CEDARBROOK RD",
"city": "WYNCOTE",
"state": "PA",
"postal_code": "190952043",
"telephone_number": "215-802-6777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINGSWAY HOMECARE AGENCY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-12",
"last_updated": "2024-10-20",
"certification_date": "2024-10-20",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "215-885-1816"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyncote, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.