Organization Active NPI

Citadel Home Care, LLC

  • Home Health Agency
  • Glenside, PA
National Provider Identifier
1770097297
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
05290501 Issued in PA
Legal business name
CITADEL HOME CARE, LLC
Practice address
130 S Easton Rd Ste 200
Glenside, PA 19038-4015
Phone
(215) 233-6231
Fax
(215) 395-6246
NPI assigned
Nov 20, 2017
Last updated
Mar 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Authorized official

Name
Cheskel Spitzer
Title
Owner/President
Phone
(347) 232-4641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 05290501 PA Primary

Addresses

Primary practice location

130 S Easton Rd Ste 200
Glenside, PA 19038-4015

Mailing address

8601 Stenton Ave
Wyndmoor, PA 19038-8312
Phone (215) 233-6231

Other identifiers 1

IdentifierTypeStateIssuer
5290501MedicaidPA

National Provider Directory

National Provider Directory

Locations

130 S Easton Rd
Ste 200
Glenside, PA 19038
Phone (215) 233-6231

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1770097297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 STENTON AVE",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190388312",
            "telephone_number": "215-233-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S EASTON RD STE 200",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190384015",
            "telephone_number": "215-233-6231",
            "fax_number": "215-395-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITADEL HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "SPITZER",
        "authorized_official_first_name": "CHESKEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "347-232-4641"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "05290501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5290501",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenside, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.