PRIMARY HOMECARE, LLC (NPI# 1629023593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629023593 |
Entity Type | Organization |
Organization Name | PRIMARY HOMECARE, LLC |
Practice Address |
8118 Old York Rd Suite D Elkins Park PA 19027-1423 |
Practice Telephone | 2156353151 |
Practice Fax Number | 2156353165 |
Mailing Telephone | 2156353151 |
Mailing Fax Number | 2156353165 |
Enumeration Date | 2006-05-22 |
Last Update Date | 2011-08-03 |
Authorized Official Name | GERALD F DRISCOLL (PRESIDENT) |
Authorized Official Telephone | 2156353151 |
Authorized Official Credential | NP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 101916277 0001 | 05 | |
PA | 00182268800010 | 05 |
Street Address |
8118 OLD YORK RD SUITE D |
City | ELKINS PARK |
State | PA |
Zip Code | 19027-1423 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366431207 | Gerald Francis Driscoll Jr. | Nurse Practitioner | 8118 Old York Rd, Suite D, Elkins Park, PA 19027-1423 | 2005-10-13 |
1104485671 | Leigh Noell Myers | Nurse Practitioner | 8118 Old York Rd, Elkins Park, PA 19027-1423 | 2019-06-10 |
1083113047 | Kassandra Barthelemy | Clinical Nurse Specialist | 8118 Old York Rd, Suite D, Elkins Park, PA 19027 | 2018-02-06 |
1831574763 | Veronika Sokolovski | Dentist | 8118 Old York Rd, Elkins Park, PA 19027-1423 | 2015-07-21 |
1689923252 | Salamatu Elsie Turay-kanneh | Registered Nurse | 8118 Old York Rd, Elkins Park, PA 19027-1423 | 2012-08-29 |
1689933970 | Multicare House Call Physicians, Inc. | Nurse Practitioner | 8118 Old York Rd, Lower Level, Elkins Park, PA 19027-1423 | 2012-05-08 |
1548555196 | Stacey L. Bishop | Nurse Practitioner | 8118 Old York Rd, Suite D, Elkins Park, PA 19027-1423 | 2011-06-12 |
1396074357 | Primary Care At Home LLC | Nurse Practitioner | 8118 Old York Rd, Suite D, Elkins Park, PA 19027-1423 | 2009-12-21 |
1104942101 | Yongkun Kim Dmd LLC | Dentist | 8118 Old York Rd, Elkins Park, PA 19027-1423 | 2007-03-21 |
1881756369 | Bernard Paul Dishler | Dentist | 8118 Old York Rd, Elkins Park, PA 19027-1423 | 2006-12-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740817915 | Dulie Rene | Nurse Practitioner | 7801 Old York Road, Elkins Park, PA 19027 | 2020-03-26 |
1003384926 | Mikael Laursen Brucker | Acupuncturist | 710 Meetinghouse Rd, Elkins Park, PA 19027 | 2018-11-08 |
1992289466 | Paragon Home Care LLC | In Home Supportive Care | 8116 Old York Rd., Suite 200, Elkins Park, PA 19027 | 2018-09-20 |
1932697406 | Elkins Park Chiropractic Center LLC | Chiropractor | 1831 W. Cheltenham Ave, Elkins Park, PA 19027 | 2018-04-30 |
1952802589 | Bilingual Brain Inc. | Speech-Language Pathologist | 610 Old York Road Suite 400, Jenkintown, PA 19027 | 2018-02-28 |
1063925618 | Love Thy Neighbor Care Service, LLC | In Home Supportive Care | 939 Township Line Rd Unit 3, Elkins Park, PA 19027 | 2017-11-06 |
1679029821 | Mosley Group Inc | Home Health | 7208 Chestnut Ave, 1, Melrose Park, PA 19027 | 2016-08-28 |
1740638576 | Einstein Medical Center | Specialist | 60 Township Line Road, Elkins Park, PA 19027 | 2016-06-02 |
1457720385 | Effraim Home Care Agency LLC | Home Health | 2001a South John Russell Circle, Elkins Park, PA 19027 | 2015-09-22 |
1083044531 | Liberty Human Services, LLC | Community/Behavioral Health | 7689, Washington Lane, Apt. B, Elkins Park, PA 19027 | 2013-11-20 |
Find all providers in zip 19027 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144820622 | Diyong S Graham | Nurse Practitioner | 2812 Tremont St, Philadelphia, PA 19136-1025 | 2020-10-26 |
1457967499 | Rpg Health | Nurse Practitioner | 332 Frenchtown Rd, Milford, PA 18337-9004 | 2020-09-16 |
1427666759 | Arevik Bagdasarova | Nurse Practitioner | 312 W Providence Rd, Aldan, PA 19018-3830 | 2020-07-22 |
1346861978 | Christine Martinez | Nurse Practitioner | 2 W Baltimore Ave Ste 101, Media, PA 19063-3740 | 2020-05-05 |
1720608490 | Jaci Trosky | Nurse Practitioner | 2824 Enon Rd, Enon Valley, PA 16120-1454 | 2020-04-22 |
1750910808 | Alpha Integrated Clinic | Nurse Practitioner | 8019 Frankford Ave Rear, Philadelphia, PA 19136-2786 | 2020-04-01 |
1427681394 | Hwayoung Kim | Nurse Practitioner | 315 New St Apt 403, Philadelphia, PA 19106-1135 | 2020-02-19 |
1720624539 | Patrice Carver Cash | Nurse Practitioner | 539 Chain St, Norristown, PA 19401-4607 | 2019-11-27 |
1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
1528601739 | Ashley Lynn Swartz | Nurse Practitioner | 390 Gates St, Johnstown, PA 15906-1906 | 2019-10-21 |
Find all providers with the same taxonomy |
City | ELKINS PARK |
Zip Code | 19027 |
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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.