Organization Active NPI

Kingsway Homecare Agency, LLC

  • In Home Supportive Care Agency
  • Wyncote, PA
National Provider Identifier
1699491563
Registry record updated Oct 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Oct 20, 2024

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.