Organization Active NPI

Silvercare Home Care Service

  • Home Health Agency
  • Upper Darby, PA
National Provider Identifier
1760935217
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SILVERCARE HOME CARE SERVICE
Practice address
6787 Market St Ste 104
Upper Darby, PA 19082-1848
Phone
(610) 352-8000
Fax
(610) 886-4158
NPI assigned
Aug 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Authorized official

Name
Xiaobin Li, M.D.
Title
Authorized Official
Phone
(610) 352-8000

Specialties & licenses 1

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

Addresses

Primary practice location

6787 Market St Ste 104
Upper Darby, PA 19082-1848

Mailing address

6787 Market St Ste 104
Upper Darby, PA 19082-1848
Phone (201) 813-9430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180725000413 PA Part A Provider - Home Health Agency 7113274978 Practice locations: Upper Darby, PA

Home health agency certification: CCN 398317

Legal name
SILVERCARE HOME CARE SERVICE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 3, 2020
Last certification
Feb 3, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jul 19, 2018 in PA
Enrollment address
6787 Market St
Ste 104
Upper Darby, PA 19082-1848

Care Compare: Home health agency

Medicare Care Compare
Listed as
Silvercare Homecare Services, LLCCCN 398317
Ownership
Proprietary
Certified
Feb 3, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2165483Silvercare Home Care Service6787 Market St, Ste 104, Upper Darby, PA 19082Certificate of waiverApr 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Silvercare Home Care Service2 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.

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Xiaobin Li Individual 5% Or Greater Direct Ownership Interest Dec 31, 2015 100%
Corporate DirectorOwner, President, Board Member Dec 31, 2015
W-2 Managing EmployeeOwner, Board Member, President Dec 31, 2015
Operational/Managerial ControlAdministrator, Alt Don Dec 31, 2015

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1760935217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6787 MARKET ST STE 104",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190821848",
            "telephone_number": "201-813-9430",
            "fax_number": "610-743-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6787 MARKET ST STE 104",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190821848",
            "telephone_number": "610-352-8000",
            "fax_number": "610-886-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERCARE HOME CARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "XIAOBIN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "610-352-8000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

Verify at the official NPI Registry.