Aging With Love LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AGING WITH LOVE LLC

Practice address

111 Penn Blvd Ste B
Lansdowne, PA 19050-2626

Phone

(215) 667-4957

Fax

(481) 461-4598

NPI assigned

Jan 13, 2020

Organization subpart

No

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

Authorized official

Name

Sia Komba

Title

President

Phone

(215) 667-4957

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1972143451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3134 WHITEHEAD LN",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387200",
            "telephone_number": "813-417-1128",
            "fax_number": "866-470-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PENN BLVD STE B",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190502626",
            "telephone_number": "215-667-4957",
            "fax_number": "481-461-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGING WITH LOVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "KOMBA",
        "authorized_official_first_name": "SIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-667-4957"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.