NPIMap

Organization Active NPI

Jeliel Skilled Nursing Agency LLC

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1861896656
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JELIEL SKILLED NURSING AGENCY LLC
Practice address
333 Poplar St
Philadelphia, PA 19123-2227
Phone
(610) 333-3322
NPI assigned
Oct 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Authorized official

Name
Elie Junior Louis-Benjamin
Title
Owner
Phone
(610) 333-3322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

333 Poplar St
Philadelphia, PA 19123-2227

Mailing address

1800 Ashbourne Rd
Unit 26722
Elkins Park, PA 19027-2595
Phone (610) 333-3322

National Provider Directory

National Provider Directory
Tax ID family
Jeliel Skilled Nursing Agency LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1861896656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 ASHBOURNE RD",
            "address_2": "UNIT 26722",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272595",
            "telephone_number": "610-333-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 POPLAR ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191232227",
            "telephone_number": "610-333-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JELIEL SKILLED NURSING AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "LOUIS-BENJAMIN",
        "authorized_official_first_name": "ELIE JUNIOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-333-3322"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 22, 2014; 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.