NPI 1205757580

NPI Information

  • NPI: 1205757580
  • Provider Name:
  • Classification: In Home Supportive Care - 253Z00000X
  • Entity Type: Organization
  • Address: 406 N 65TH ST
    PHILADELPHIA, PA
    ZIP 19151
  • Phone: (215) 791-8430

Map and Directions

Get Directions

NPI Details

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. NPI is 1205757580. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

406 N 65TH ST
PHILADELPHIA, PA
ZIP 19151-003
Phone: (215) 791-8430
Fax: (888) 493-3438

The provider's authorized official is Khaliah Moody .
The authorized official title is Founder/ceo and has the following contact phone number (215) 791-8430.

The enumeration date for this NPI number is 7/23/2026 and was last updated on 7/23/2026.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior AnalystNo
2251B00000XCase ManagementNo
3251S00000XCommunity/Behavioral HealthNo
4253Z00000XIn Home Supportive CareYes
5372600000XAdult CompanionNo

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI