Organization Active NPI

Philmont Homecare, LLC

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1790107936
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PHILMONT HOMECARE, LLC
Practice address
14500 Bustleton Avenue
Suite 208
Philadelphia, PA 19116
Phone
(267) 343-5951
Fax
(267) 343-5962
NPI assigned
Jan 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Ms. Marina Slusaranskaya
Title
Officer/ Administrator
Phone
(215) 908-0950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14500 Bustleton Avenue
Suite 208
Philadelphia, PA 19116

Mailing address

14500 Bustleton Avenue
Suite 208
Philadelphia, PA 19116
Phone (267) 343-5951

National Provider Directory

National Provider Directory

Locations

14500 Bustleton Ave
Ste 208
Philadelphia, PA 19116
Phone (267) 343-5951

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1790107936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 BUSTLETON AVENUE",
            "address_2": "SUITE 208",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19116",
            "telephone_number": "267-343-5951",
            "fax_number": "267-343-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 BUSTLETON AVENUE",
            "address_2": "SUITE 208",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19116",
            "telephone_number": "267-343-5951",
            "fax_number": "267-343-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILMONT HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "SLUSARANSKAYA",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "OFFICER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "215-908-0950",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 Jan 7, 2014; 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.