Citizens Home Care Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CITIZENS HOME CARE AGENCY LLC

Practice address

885 N 66TH St
Philadelphia, PA 19151-3331

Phone

(215) 200-1520

NPI assigned

Sep 27, 2018

Last updated

Sep 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bose Oduwaiye

Title

Owner / President

Phone

(215) 200-1520

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740765585. Details of each certification follow.

• CCN 398320 Home health agency · Active · Details

Home health agency certification: CCN 398320

Legal name

CITIZENS HOME CARE AGENCY LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 6, 2020

Last certification

Aug 6, 2020

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jul 9, 2018 in PA

Enrollment address

885 N 66TH St
Philadelphia, PA 19151-3331

Listed as

Citizens Home Care Agency, LLCCCN 398320 · All quality measures

Ownership

Proprietary

Certified

Aug 6, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Occupational therapy

Tax ID family

Citizens Home Care Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Citizens Home Care Agency LLC

  • In Home Supportive Care Agency
  • Philadelphia, PA
  • NPI 1922586940
  NPD tax ID

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1740765585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 N 66TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513331",
            "telephone_number": "215-200-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 N 66TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513331",
            "telephone_number": "215-200-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZENS HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "ODUWAIYE",
        "authorized_official_first_name": "BOSE",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "215-200-1520"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aminata Cisse, MD
• Lisa Ann Citarella, MS, LPC
• Citizen's Acting Together Can Help, Inc. (CATCH, Inc)
• Citizen's Acting Together Can Help, Inc.
• Citizens Acting Together Can Help Inc.,
• Citizens Home Care Agency LLC
• Rebecca Citrin, MD
• Lindsey E Citron, VMD
• Elizabeth Citrone
• City Chiropractic & Rehabilitation

• 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 Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.