Organization Active NPI

Jevs Care at Home

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1982116844
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
23553601 Issued in PA
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

Updated by the provider on Jul 11, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
102748837-0002MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Jevs Care at Home4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.