Organization Active NPI

Red Tree Home Care

  • Adult Care Home Facility
  • Philadelphia, PA
National Provider Identifier
1932862802
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
RED TREE HOME CARE
Practice address
320 Fern Street
Philadelphia, PA 19120-1812
Phone
(267) 265-7020
NPI assigned
Oct 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Shynell PearsallNPI 1205601721
Title
Ceo
Phone
(267) 265-7020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

320 Fern Street
Philadelphia, PA 19120-1812

Mailing address

320 Fern Street
Philadelphia, PA 19120-1812
Phone (267) 265-7020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1932862802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 FERN STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191201812",
            "telephone_number": "267-265-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 FERN STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191201812",
            "telephone_number": "267-265-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED TREE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "PEARSALL",
        "authorized_official_first_name": "SHYNELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-265-7020"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "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 18, 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.