Organization Active NPI

Medallion Home Care of de LLC

  • In Home Supportive Care Agency
  • Wilmington, DE
National Provider Identifier
1922705144
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MEDALLION HOME CARE OF DE LLC
Practice address
1521 Concord Pike Ste 301
Wilmington, DE 19803-3644
Phone
(610) 806-2074
NPI assigned
Feb 8, 2023
Last updated
Jun 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Zakaria Jamshidi
Title
Owner/President
Phone
(610) 806-2074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

1521 Concord Pike Ste 301
Wilmington, DE 19803-3644

Mailing address

119 Hearthside Way
Oxford, PA 19363-2480
Phone (610) 806-2074

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1922705144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 HEARTHSIDE WAY",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193632480",
            "telephone_number": "610-806-2074",
            "fax_number": "215-689-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 CONCORD PIKE STE 301",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033644",
            "telephone_number": "610-806-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDALLION HOME CARE OF DE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "JAMSHIDI",
        "authorized_official_first_name": "ZAKARIA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "610-806-2074"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.