Prudentiacare Health Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRUDENTIACARE HEALTH SERVICES

Practice address

1735 Market St Ste 3750
Philadelphia, PA 19103-7532

Phone

(267) 507-6030

Fax

(267) 504-6150

NPI assigned

Jun 26, 2014

Organization subpart

No

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

Authorized official

Name

Shavon Marie Patterson

Title

Owner

Phone

(267) 634-1479

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1720493992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 MARKET STREET, STE 3750",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19103",
            "telephone_number": "267-507-6030",
            "fax_number": "267-504-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 MARKET ST STE 3750",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191037532",
            "telephone_number": "267-507-6030",
            "fax_number": "267-504-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUDENTIACARE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "SHAVON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-634-1479"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Provision Point LLC
• Provisional 2 Preferred Living 4 Ever 62 Inc. (HomeWell Care Services PA 295)
• Provisions Home Healthcare Services,LLC
• Joan Cindy Prowda, MD
• Matthew L Prowler, MD
• Prudentiacare Home Health Services, LLC
• Maike Prudhomme
• Aaron Pruitt III, MD
• Amy A Pruitt, MD
• Erica Pruitt, LPC

• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.