Organization Active NPI

Nurture and Care LLC

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1780111906
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
32783601 Issued in PA
Legal business name
NURTURE AND CARE LLC
Practice address
15200 Bustleton Ave Unit C-1
Philadelphia, PA 19116-1196
Phone
(215) 552-4400
Fax
(215) 422-3520
NPI assigned
May 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Mr. Albert Isakov
Title
Ceo
Phone
(718) 717-8800

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X 32783601 PA Primary
HomemakerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 376J00000X 32783601 PA
Respite Care 385H00000X

Addresses

Primary practice location

15200 Bustleton Ave Unit C-1
Philadelphia, PA 19116-1196

Mailing address

1 W 34TH St RM 401
New York, NY 10001-0071
Phone (718) 717-8800

Other identifiers 1

IdentifierTypeStateIssuer
103639659-0001MedicaidPA

Other names 1

  • Age at Home Doing business as

National Provider Directory

National Provider Directory

Locations

15200 Bustleton Ave
Unit C1
Philadelphia, PA 19116
Phone (215) 552-4400

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1780111906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W 34TH ST RM 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100010071",
            "telephone_number": "718-717-8800",
            "fax_number": "212-380-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 BUSTLETON AVE UNIT C-1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191161196",
            "telephone_number": "215-552-4400",
            "fax_number": "215-422-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURE AND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-18",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "ISAKOV",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-717-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "32783601",
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "PA",
            "license": "32783601",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103639659-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Age at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 9, 2023; 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.