South Philly Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SOUTH PHILLY HOME CARE

Practice address

1517 Gregg St # a
Philadelphia, PA 19115-4283

Phone

(267) 475-5829

NPI assigned

Dec 14, 2022

Organization subpart

No

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

Authorized official

Name

Jenny X. Rafeh

Title

Ceo

Phone

(267) 475-5829

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1851003404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 GREGG ST # A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154283",
            "telephone_number": "267-475-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 GREGG ST # A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154283",
            "telephone_number": "267-475-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PHILLY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "RAFEH",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "X.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-475-5829"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Barbara Southerland, NURSE PRACTITIONER

• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.

Verify at the official NPI Registry.