Organization Active NPI

Perseverance, Mitigation and Nurising Care Options Inc.

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1811409808
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
30833601 Issued in PA
Legal business name
PERSEVERANCE, MITIGATION AND NURISING CARE OPTIONS INC.
Practice address
2636 S 67TH St
Philadelphia, PA 19142-2706
Phone
(267) 981-6017
NPI assigned
Oct 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mr. Trokon W. Kofa
Title
Chief Executive Officer
Phone
(267) 981-6017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 30833601 PA Primary

Addresses

Primary practice location

2636 S 67TH St
Philadelphia, PA 19142-2706

Mailing address

2636 S 67TH St
Philadelphia, PA 19142-2706
Phone (267) 981-6017

Other identifiers 1

IdentifierTypeStateIssuer
30833601OtherPACERTIFICATE OF LICENSURE

Other names 1

  • PM Nursing Care Options Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1811409808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 S 67TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191422706",
            "telephone_number": "267-981-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 S 67TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191422706",
            "telephone_number": "267-981-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSEVERANCE, MITIGATION AND NURISING CARE OPTIONS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "KOFA",
        "authorized_official_first_name": "TROKON",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "267-981-6017",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "30833601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF LICENSURE",
            "identifier": "30833601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PM Nursing Care Options",
            "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 Jun 16, 2018; 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.