Pennlife Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PENNLIFE HOMECARE LLC

Practice address

1926 Foothill Dr
Huntingdon Valley, PA 19006-7922

Phone

(215) 452-7730

NPI assigned

Apr 17, 2023

Last updated

Apr 17, 2023By 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

Manna Ahmed

Title

Owner

Phone

(215) 452-7730

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1952097479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 FOOTHILL DR",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190067922",
            "telephone_number": "215-452-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 FOOTHILL DR",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190067922",
            "telephone_number": "215-452-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNLIFE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-452-7730"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Huntingdon Valley, PA
• Providers in Huntingdon Valley, 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 Apr 17, 2023; 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.