Mary Elizabeth Homecare Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

34783601 Issued in PA

Legal business name

MARY ELIZABETH HOMECARE SERVICES, INC.

Practice address

2622 Poplar St Apt 1
Philadelphia, PA 19130-1363

Phone

(215) 455-4104

Fax

(215) 457-9577

NPI assigned

Sep 7, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Sylvester Bailey III, MBA

Title

Ceo

Phone

(252) 702-1370

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1770001018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26221",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191416221",
            "telephone_number": "215-455-4104",
            "fax_number": "215-457-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 POPLAR ST APT 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191301363",
            "telephone_number": "215-455-4104",
            "fax_number": "215-457-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ELIZABETH HOMECARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "SYLVESTER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-702-1370",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "34783601",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "PA",
            "license": "34783601",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mary Eliza Home LLC
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• Maryam Pharmacy Group,Inc
• Maryann Nurses LLC
• Maryjo Home Care, LLC
• Maryville Pulmonary & Sleep Medicine, LLC

• 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 Oct 9, 2024; 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.