Affectionate Home Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AFFECTIONATE HOME CARE SERVICES LLC

Practice address

5745B N Broad St
Philadelphia, PA 19141-2307

Phone

(215) 798-9855

Fax

(215) 224-6000

NPI assigned

Sep 12, 2019

Last updated

May 28, 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

Tatyana Petrashkevich

Title

President

Phone

(215) 798-9855

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1861042780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5745B N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191412307",
            "telephone_number": "215-798-9855",
            "fax_number": "215-224-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5745B N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191412307",
            "telephone_number": "215-798-9855",
            "fax_number": "215-224-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFECTIONATE HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "PETRASHKEVICH",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-798-9855"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "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 May 28, 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.