Individual provider Active NPI

Tamako Presley

  • Home Health Agency
  • Jenkintown, PA
National Provider Identifier
1740842780
Registry record updated Jun 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
34503601 Issued in PA
Practice address
261 Old York Rd Ste 401
Jenkintown, PA 19046-3722
Phone
(215) 885-5500
Fax
(215) 885-5501
NPI assigned
Jun 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 34503601 PA Primary

Addresses

Primary practice location

261 Old York Rd Ste 401
Jenkintown, PA 19046-3722

Mailing address

261 Old York Rd Ste 401
Jenkintown, PA 19046-3722
Phone (215) 885-5500

Other identifiers 1

IdentifierTypeStateIssuer
103460043MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34503601PAMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Annie's Personal Care Home Care, LLC Home Health CurrentSince Nov 24, 2019 Accepting new patients

Locations

261 Old York Rd
Ste 401
Jenkintown, PA 19046
Phone (215) 305-9701

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561766400000",
    "number": "1740842780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD STE 401",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463722",
            "telephone_number": "215-885-5500",
            "fax_number": "215-885-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 OLD YORK RD STE 401",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190463722",
            "telephone_number": "215-885-5500",
            "fax_number": "215-885-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESLEY",
        "first_name": "TAMAKO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-29",
        "last_updated": "2019-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "34503601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103460043",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2019; 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.