Active NPI
Jerrilyn Health Care Services
- Home Health Agency
- Philadelphia, PA
National Provider Identifier
1811201395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- JERRILYN HEALTH CARE SERVICES
- Practice address
- 6628 Woodland Avenue
Lower Level
Philadelphia, PA 19142 - Phone
- (267) 254-4551
- Fax
- (215) 739-1239
- NPI assigned
- Jul 27, 2010
- Organization subpart
- Yes
- Parent organization
- TECHONE SOLUTIONS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerry Korlubah Yogboh Sr., MS
- Title
- Director
- Phone
- (267) 254-4551
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
6628 Woodland Avenue
Lower Level
Philadelphia, PA 19142
Mailing address
6628 Woodland Ave
Lower Level
Philadelphia, PA 19142-2223
Phone (267) 254-4551
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280188800000",
"number": "1811201395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6628 WOODLAND AVE",
"address_2": "LOWER LEVEL",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191422223",
"telephone_number": "267-254-4551",
"fax_number": "215-379-1239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6628 WOODLAND AVENUE",
"address_2": "LOWER LEVEL",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19142",
"telephone_number": "267-254-4551",
"fax_number": "215-739-1239"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERRILYN HEALTH CARE SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TECHONE SOLUTIONS INC",
"enumeration_date": "2010-07-27",
"last_updated": "2010-07-27",
"status": "A",
"authorized_official_last_name": "YOGBOH",
"authorized_official_first_name": "JERRY",
"authorized_official_middle_name": "KORLUBAH",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "267-254-4551",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "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 Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.