Active NPI
Jevs Care at Home
- In Home Supportive Care Agency
- Philadelphia, PA
National Provider Identifier
1982116844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 23553601
- Legal business name
- JEVS CARE AT HOME
- Practice address
- 9350 Ashton Rd RM 102
Philadelphia, PA 19114-7401 - Phone
- (267) 298-1619
- NPI assigned
- Nov 1, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Jamison
- Title
- VP Organizational Development
- Phone
- (267) 298-1619
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 23553601 | PA | Primary |
| Respite Care | 385H00000X | 23553601 | PA |
Addresses
Primary practice location
9350 Ashton Rd RM 102
Philadelphia, PA 19114-7401
Mailing address
9350 Ashton Rd RM 102
Philadelphia, PA 19114-7401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102748837-0002 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- Jevs Care at Home
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Fairfield, PA
- NPI 1235877812
-
- In Home Supportive Care Agency
- Pittsburgh, PA
- NPI 1417455734
-
- In Home Supportive Care Agency
- Dover, DE
- NPI 1790508695
Locations
9350 Ashton Rd
Rm 102
Philadelphia, PA 19114
Phone (267) 298-1619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562803200000",
"number": "1982116844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9350 ASHTON RD RM 102",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191147401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9350 ASHTON RD RM 102",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191147401",
"telephone_number": "267-298-1619"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEVS CARE AT HOME",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-01",
"last_updated": "2019-07-11",
"status": "A",
"authorized_official_last_name": "JAMISON",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "VP ORGANIZATIONAL DEVELOPMENT",
"authorized_official_telephone_number": "267-298-1619"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "PA",
"license": "23553601",
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "PA",
"license": "23553601",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102748837-0002",
"state": "PA"
}
],
"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 Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.