Active NPI
Compassionate Caretakers Homecare Agency
- Home Health Agency
- Philadelphia, PA
National Provider Identifier
1831617570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 34753601
- Legal business name
- COMPASSIONATE CARETAKERS HOMECARE AGENCY
- Practice address
- 2439 N College Ave Apt 5
Philadelphia, PA 19121-4845 - Phone
- (215) 420-9720
- NPI assigned
- Sep 1, 2017
- 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
- Christena Wallace, LPN
- Title
- Owner
- Phone
- (215) 420-9720
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 34753601 | PA | Primary |
Addresses
Primary practice location
2439 N College Ave Apt 5
Philadelphia, PA 19121-4845
Mailing address
2439 N College Ave Unit 5
Philadelphia, PA 19121-4845
Phone (215) 420-9720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3475 | Other | PA | NON SKILLED CARE |
National Provider Directory
National Provider DirectoryLocations
2439 N College Ave
Ste 5
Philadelphia, PA 19121
Phone (215) 420-9720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1831617570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2439 N COLLEGE AVE UNIT 5",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191214845",
"telephone_number": "215-420-9720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2439 N COLLEGE AVE APT 5",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191214845",
"telephone_number": "215-420-9720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASSIONATE CARETAKERS HOMECARE AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-01",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "WALLACE",
"authorized_official_first_name": "CHRISTENA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-420-9720",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "34753601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NON SKILLED CARE",
"identifier": "3475",
"state": "PA"
}
],
"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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.