Exalted Life Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EXALTED LIFE HOME CARE LLC

Doing business as

Exalted Life Home Care LLC

Practice address

317 E South Ave
Glenolden, PA 19036-2318

Phone

(267) 721-7801

NPI assigned

Mar 10, 2022

Last updated

Mar 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David David

Title

President

Phone

(267) 721-7801

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Exalted Life Home Care LLC Doing business as

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1942957873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 E SOUTH AVE",
            "city": "GLENOLDEN",
            "state": "PA",
            "postal_code": "190362318",
            "telephone_number": "267-721-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E SOUTH AVE",
            "city": "GLENOLDEN",
            "state": "PA",
            "postal_code": "190362318",
            "telephone_number": "267-721-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXALTED LIFE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-721-7801"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF STATE BUREAU OF CORPORATIONS AND CHARITABLE ORG.",
            "identifier": "7439862",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exalted Life Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Glenolden, PA
• Providers in Glenolden, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.