Organization Active NPI

Experience the Brilliance Homecare Agency LLC

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1780326447
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EXPERIENCE THE BRILLIANCE HOMECARE AGENCY LLC
Practice address
2114 Estaugh St
Philadelphia, PA 19140-4831
Phone
(215) 385-0565
NPI assigned
Apr 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Authorized official

Name
Abrille Patillo
Title
President
Phone
(215) 385-0565

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2114 Estaugh St
Philadelphia, PA 19140-4831

Mailing address

2114 Estaugh St
Philadelphia, PA 19140-4831

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1780326447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 ESTAUGH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 ESTAUGH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404831",
            "telephone_number": "215-385-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCE THE BRILLIANCE HOMECARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "PATILLO",
        "authorized_official_first_name": "ABRILLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-385-0565"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 12, 2022; 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.