Porters Health Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PORTERS HEALTH SERVICES LLC

Practice address

8712 Nellie LN
Marvin, NC 28173-7944

Phone

(980) 729-3366

NPI assigned

Oct 9, 2021

Last updated

Oct 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Titilola Oluwatosin Adewale, ED.D.

Title

Administrator

Phone

(412) 855-0102

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1633737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633737600000",
    "number": "1821750605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8712 NELLIE LN",
            "city": "MARVIN",
            "state": "NC",
            "postal_code": "281737944",
            "telephone_number": "980-729-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8712 NELLIE LN",
            "city": "MARVIN",
            "state": "NC",
            "postal_code": "281737944",
            "telephone_number": "980-729-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTERS HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-09",
        "last_updated": "2021-10-09",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "ADEWALE",
        "authorized_official_first_name": "TITILOLA",
        "authorized_official_middle_name": "OLUWATOSIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "412-855-0102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "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": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2021; 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.