Proud Hearts Home Care Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PROUD HEARTS HOME CARE AGENCY LLC

Practice address

1039 W Schiller St
Philadelphia, PA 19140

Phone

(908) 267-0043

Fax

(732) 374-4094

NPI assigned

Nov 13, 2023

Organization subpart

No

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

Authorized official

Name

Ely Logan

Title

Owner

Phone

(908) 267-0043

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1992579742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 DANBURY LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 W SCHILLER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19140",
            "telephone_number": "908-267-0043",
            "fax_number": "732-374-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROUD HEARTS HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "ELY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-267-0043"
    },
    "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 Philadelphia, PA
• Providers in Philadelphia, 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 23, 2024; 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.