Organization Active NPI

Intentional Care Homecare LLC

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1720956592
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
INTENTIONAL CARE HOMECARE LLC
Practice address
316 N Felton St
Philadelphia, PA 19139-1103
Phone
(267) 320-2874
NPI assigned
Oct 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Tyra Elam
Title
President
Phone
(267) 320-2874

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

316 N Felton St
Philadelphia, PA 19139-1103

Mailing address

316 N Felton St
Philadelphia, PA 19139-1103
Phone (267) 320-2874

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1720956592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 N FELTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191391103",
            "telephone_number": "267-320-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N FELTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191391103",
            "telephone_number": "267-320-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENTIONAL CARE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "ELAM",
        "authorized_official_first_name": "TYRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-320-2874"
    },
    "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": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.