Organization Active NPI

Distinct Home Health Care, LLC.

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1861865818
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
RN:625738 Issued in PA
Legal business name
DISTINCT HOME HEALTH CARE, LLC.
Practice address
8900 Maxwell PL.
Philadelphia, PA 19152
Phone
(215) 713-5413
NPI assigned
Nov 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Miss Gladys Charlemagne, BSN, RN - REGISTERED
Title
RN, BSN Director
Phone
(215) 713-5413

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X RN:625738 PA Primary
Community/Behavioral Health Agency 251S00000X RN:625738 PA

Addresses

Primary practice location

8900 Maxwell PL.
Philadelphia, PA 19152

Mailing address

8900 Maxwell PL.
Philadelphia, PA 19152
Phone (215) 713-5413

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1861865818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 MAXWELL PL.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19152",
            "telephone_number": "215-713-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 MAXWELL PL.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19152",
            "telephone_number": "215-713-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTINCT HOME HEALTH CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "CHARLEMAGNE",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "RN, BSN DIRECTOR",
        "authorized_official_telephone_number": "215-713-5413",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "BSN, RN - REGISTERED"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "RN:625738",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "RN:625738",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Nov 12, 2015; 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.