Active NPI
Mariam Bedoidze, ASSOCIATE DEGREE
- In Home Supportive Care Agency
- Wayne, PA
National Provider Identifier
1700723541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 26173601
- Practice address
- 328 E Conestoga Rd
Wayne, PA 19087-2509 - Phone
- (215) 900-1681
- NPI assigned
- Apr 30, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 26173601 | PA | Primary |
Addresses
Primary practice location
328 E Conestoga Rd
Wayne, PA 19087-2509
Mailing address
622 Norlyn CT
King of Prussia, PA 19406-3059
Phone (215) 900-1681
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26173601 | PA | MD | In Home Supportive Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1700723541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 NORLYN CT",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194063059",
"telephone_number": "215-900-1681",
"fax_number": "215-876-2213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 E CONESTOGA RD",
"city": "WAYNE",
"state": "PA",
"postal_code": "190872509",
"telephone_number": "215-900-1681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDOIDZE",
"first_name": "MARIAM",
"name_prefix": "Mrs.",
"credential": "ASSOCIATE DEGREE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-30",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "PA",
"license": "26173601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.