Caring Angels International of Pennsylvania, LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

CARING ANGELS INTERNATIONAL OF PENNSYLVANIA, LLC

Practice address

6924 Garman St
Philadelphia, PA 19142-2121

Phone

(302) 482-1577

Fax

(302) 286-7521

NPI assigned

Feb 22, 2024

Organization subpart

No

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

Authorized official

Name

Amos Clay Tarley Sr.

Title

Owner

Phone

(302) 983-4692

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1902662505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MAPLESHADE RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197028419",
            "telephone_number": "302-983-4692",
            "fax_number": "302-282-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6924 GARMAN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191422121",
            "telephone_number": "302-482-1577",
            "fax_number": "302-286-7521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Larch Cir Ste 103",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "DE",
            "postal_code": "198042371",
            "country_code": "US",
            "telephone_number": "302-482-1577",
            "fax_number": "302-286-7521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARING ANGELS INTERNATIONAL OF PENNSYLVANIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "TARLEY",
        "authorized_official_first_name": "AMOS",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-983-4692",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Registered Nurse in Philadelphia, PA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.