Active NPI
Supacare Community Living LLC
- Home Health Agency
- Philadelphia, PA
National Provider Identifier
1790698967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SUPACARE COMMUNITY LIVING LLC
- Practice address
- 2030 E Tioga St # 1
Philadelphia, PA 19134-2634 - Phone
- (267) 901-7482
- NPI assigned
- Sep 28, 2026
- Last updated
- Sep 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tyler Hunt
- Title
- Owner
- Phone
- (267) 901-7482
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
2030 E Tioga St # 1
Philadelphia, PA 19134-2634
Mailing address
1201 N 3Rd St # 119
Philadelphia, PA 19122-4425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790553600000",
"number": "1790698967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 N 3RD ST # 119",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191224425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 E TIOGA ST # 1",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191342634",
"telephone_number": "267-901-7482"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPACARE COMMUNITY LIVING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-28",
"last_updated": "2026-09-28",
"certification_date": "2026-09-27",
"status": "A",
"authorized_official_last_name": "HUNT",
"authorized_official_first_name": "TYLER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "267-901-7482"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"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 Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.