Aidewell Home Care, LLC.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

AIDEWELL HOME CARE, LLC.

Practice address

1335 W Tabor Rd Ste 306
Philadelphia, PA 19141-3041

Phone

(215) 516-7777

Fax

(267) 335-4611

NPI assigned

Jul 25, 2019

Last updated

Dec 9, 2020By 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

Rustam Shalmiyev

Title

President

Phone

(215) 516-7777

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1750935094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 W TABOR RD STE 306",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413041",
            "telephone_number": "215-516-7777",
            "fax_number": "267-335-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 W TABOR RD STE 306",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413041",
            "telephone_number": "215-516-7777",
            "fax_number": "267-335-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIDEWELL HOME CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "SHALMIYEV",
        "authorized_official_first_name": "RUSTAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-516-7777"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.