Active NPI
PA Care at Home Services LLC
- Home Health Agency
- Philadelphia, PA
National Provider Identifier
1730790700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PA CARE AT HOME SERVICES LLC
- Practice address
- 149 W Luray Street
1St FL
Philadelphia, PA 19140-1612 - Phone
- (267) 766-3636
- Fax
- (267) 766-6485
- NPI assigned
- Aug 13, 2020
- 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
- Vilmarie Torres
- Title
- Owner
- Phone
- (267) 693-1360
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
149 W Luray Street
1St FL
Philadelphia, PA 19140-1612
Mailing address
149 W Luray Street
1St FL
Philadelphia, PA 19140-1612
Phone (267) 766-3636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103800495001 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vtorres@pacarehca.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597276800000",
"number": "1730790700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 W LURAY STREET",
"address_2": "1ST FL",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191401612",
"telephone_number": "267-766-3636",
"fax_number": "267-766-6485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 W LURAY STREET",
"address_2": "1ST FL",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191401612",
"telephone_number": "267-766-3636",
"fax_number": "267-766-6485"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PA CARE AT HOME SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A",
"authorized_official_last_name": "TORRES",
"authorized_official_first_name": "VILMARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "267-693-1360"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103800495001",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vtorres@pacarehca.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "149 W LURAY STREET",
"address_2": "1ST FL",
"city": "PHILADELPHIA",
"state": "PA",
"country_code": "US",
"postal_code": "191401612",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.