INNOVATIVE SENIOR CARE HOME HEALTH OF PHILADELPHIA LLC (NPI# 1386965879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386965879 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE SENIOR CARE HOME HEALTH OF PHILADELPHIA LLC |
| Other Organization Name | BROOKDALE HOME HEALTH PHILADELPHIA |
| Practice Address |
995 Old Eagle School Rd Suite 314 Wayne PA 19087-1709 |
| Mailing Address |
111 Westwood Pl Brentwood TN 37027-5021 |
| Practice Telephone | 6102652846 |
| Mailing Telephone | 6152212250 |
| Mailing Fax Number | 6152212280 |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2020-05-14 |
| Authorized Official Name | DONNIS M. EVANS (MANAGER, REGULATORY PRACTICES) |
| Authorized Official Telephone | 6155648181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 2580501 | PA | Agencies |
| Other Name | Type Code |
|---|---|
| Brookdale Home Health Philadelphia | Doing Business As Name - Organization |
| Street Address |
995 OLD EAGLE SCHOOL RD SUITE 314 |
| City | WAYNE |
| State | PA |
| Zip Code | 19087-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922001718 | Robert Carmen Rose | Dentist | 995 Old Eagle School Rd, Suite 305, Wayne, PA 19087-1709 | 2005-05-24 |
| 1245677020 | Brookdale Hospice of Philadelphia LLC | Hospice Care, Community Based | 995 Old Eagle School Rd, Suite 315, Wayne, PA 19087-1709 | 2013-06-03 |
| 1225380199 | Evidia Biosciences Inc - Pa | Clinical Medical Laboratory | 995 Old Eagle School Rd, 310, Wayne, PA 19087-1709 | 2012-10-02 |
| 1669622148 | Susan Seo | Dermatology | 995 Old Eagle School Rd, Wayne, PA 19087-1709 | 2008-09-22 |
| 1386868586 | Steven R Hart | Dentist | 995 Old Eagle School Rd, Suite 305, Wayne, PA 19087-1709 | 2007-04-12 |
| 1497787246 | Main Line Dermatology, Inc. | Specialist | 995 Old Eagle School Rd, Suite 304-f, Wayne, PA 19087-1709 | 2006-07-06 |
| 1447297502 | David Patrick Manion | Dermatology | 995 Old Eagle School Rd, Suite 304-f, Wayne, PA 19087-1709 | 2006-05-31 |
| 1326039413 | Michael D Damiano | Specialist | 995 Old Eagle School Rd, Suite 304-f, Wayne, PA 19087-1709 | 2005-10-29 |
| 1235120320 | Scott N Schafrank | Specialist | 995 Old Eagle School Rd, Suite 304-f, Wayne, PA 19087-1709 | 2005-10-29 |
| 1053302141 | Jamea E Campbell | Specialist | 995 Old Eagle School Rd, Suite 304-f, Wayne, PA 19087-1709 | 2005-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037455 | Melissa Chipollini | Counselor | 487 Devon Park, Wayne, PA 19087 | 2020-06-11 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1538654363 | Brightview Wayne, LLC | Alzheimer Center (Dementia Center) | 301 E. Conestoga Road, Wayne, PA 19087 | 2018-06-25 |
| 1396234076 | Life Clinic of Pa PC | Physical Therapist | 700 E. Swedesford Rd., Wayne, PA 19087 | 2018-05-08 |
| 1841717246 | Laurie Anne Griffith | Counselor | 300 King of Prussia Rd, 2nd Floor, Radnor, PA 19087 | 2017-08-25 |
| 1457871279 | Tracy Kornafel | Physical Therapist | 288 Iven Ave, Apt 1a, Wayne, PA 19087 | 2017-06-22 |
| 1366980153 | Jodi Miller | Physical Therapist | 999 Old Eagle School Rd., Suite 106, Wayne, PA 19087 | 2017-02-01 |
| 1891244844 | Elite Pt LLC | Physical Therapist | 555 E Lancaster Ave Ste 30, Saint Davids, PA 19087 | 2016-09-30 |
| 1386190015 | Patrick Hanratty | Counselor | 468 Upper Weadley Rd, Wayne, PA 19087 | 2016-09-01 |
| 1316494958 | Main Line Day, LLC | Psychologist | 487 Devon Park Drive, Suite 207, Wayne, PA 19087 | 2016-09-01 |
| Find all providers in zip 19087 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386284917 | Mari Care LLC | Home Health | 601 Hamburg Tpke Ste 207, Wayne, NJ 07470-2049 | 2020-01-12 |
| 1801351580 | 247 Healthcare Solutions LLC | Home Health | 516 Hamburg Tpke Ste 10, Wayne, NJ 07470-2063 | 2019-02-06 |
| 1316464688 | Michigan Home Care Services LLC | Home Health | 4151 S Wayne Rd, Wayne, MI 48184-2112 | 2017-08-27 |
| 1811434913 | Professional Home Health Care LLC | Home Health | 48 Joseph Pl, Wayne, NJ 07470-3482 | 2017-01-26 |
| 1780065003 | Patient Advocate LLC | Home Health | 259 Indian Rd, Wayne, NJ 07470-4915 | 2015-06-11 |
| 1194083840 | Your Way Home Care LLC | Home Health | 36 Mountainview Blvd, Wayne, NJ 07470-6732 | 2012-05-01 |
| 1265701866 | S Home Health - Companion Care, L.l.c | Home Health | 4106 Howe St., Wayne, MI 48184 | 2011-12-28 |
| 1568796431 | Futures Healthcore, LLC | Home Health | 354215 Michigan Avenue, Wayne, MI 48184 | 2009-09-25 |
| 1306002837 | Premier Home Health Services LLC | Home Health | 35612 West Michigan Ave, Ste 1b, Wayne, MI 48184 | 2008-08-04 |
| 1952507311 | Odyssey Home Health Services Inc | Home Health | 35612 W Michigan Ave, Wayne, MI 48184-1628 | 2007-06-22 |
| Find all providers in WAYNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.