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ILLUMINATED HEARTS NPI 1053775528


NPI Information

NPI: 1053775528
Provider Name: ILLUMINATED HEARTS
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
3900 FORD RD
STE 104E
PHILADELPHIA, PA
ZIP 19131
Phone: (215) 921-6624
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ILLUMINATED HEARTS is an in home supportive care in Philadelphia, PA. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. ILLUMINATED HEARTS NPI is 1053775528. The provider is registered as an organization entity type.

The provider's business location address is:

3900 FORD RD
STE 104E
PHILADELPHIA, PA
ZIP 19131-039
Phone: (215) 921-6624
Fax: (215) 921-6715

The provider's authorized official is Kionna Perry .
The authorized official title is Co Founder and has the following contact phone number (610) 324-7807.

The enumeration date for this NPI number is 4/11/2016 and was last updated on 4/11/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253Z00000XIn Home Supportive Care28383601PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1103052059OTHERPENNSYLVANIAMPI NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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