Active NPI
KSR Home Care Service LLC
- In Home Supportive Care Agency
- Bensalem, PA
National Provider Identifier
1730898313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- KSR HOME CARE SERVICE LLC
- Practice address
- 2617 Street Rd Ste 140
Bensalem, PA 19020-2864 - Phone
- (484) 649-1941
- NPI assigned
- Nov 22, 2022
- 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
- Ramy Eldakkak
- Title
- President
- Phone
- (484) 649-1941
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
2617 Street Rd Ste 140
Bensalem, PA 19020-2864
Mailing address
2617 Street Rd Ste 140
Bensalem, PA 19020-2864
Phone (484) 649-1941
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735344000000",
"number": "1730898313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2617 STREET RD STE 140",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190202864",
"telephone_number": "484-649-1941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2617 STREET RD STE 140",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190202864",
"telephone_number": "484-649-1941"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KSR HOME CARE SERVICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-22",
"last_updated": "2024-12-28",
"certification_date": "2024-12-28",
"status": "A",
"authorized_official_last_name": "ELDAKKAK",
"authorized_official_first_name": "RAMY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "484-649-1941"
},
"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 Bensalem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.