Organization Active NPI

Debre Homecare, LLC

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1740930130
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DEBRE HOMECARE, LLC
Practice address
1500 Walnut St Ste 800
Philadelphia, PA 19102-3505
Phone
(215) 964-8816
NPI assigned
Mar 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Authorized official

Name
Adiam Keleta
Title
Ceo
Phone
(215) 964-8816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1500 Walnut St Ste 800
Philadelphia, PA 19102-3505

Mailing address

1500 Walnut St Ste 800
Philadelphia, PA 19102-3505
Phone (215) 964-8816

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1740930130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WALNUT ST STE 800",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023505",
            "telephone_number": "215-964-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WALNUT ST STE 800",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023505",
            "telephone_number": "215-964-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRE HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "KELETA",
        "authorized_official_first_name": "ADIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-964-8816"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.