Organization Active NPI

KSR Home Care Service LLC

  • In Home Supportive Care Agency
  • Bensalem, PA
National Provider Identifier
1730898313
Registry record updated Dec 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Dec 28, 2024

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.