ENNOBLE CARE OF PENNSYLVANIA LLC (NPI# 1356948731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356948731 |
| Entity Type | Organization |
| Organization Name | ENNOBLE CARE OF PENNSYLVANIA LLC |
| Practice Address |
1650 Market St Ste 2600 Philadelphia PA 19103-7301 |
| Mailing Address |
2 University Plz Ste 204 Hackensack NJ 07601-6211 |
| Practice Telephone | 8776847831 |
| Mailing Telephone | 9734359463 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | MR. DANIEL STOKAR (PRESIDENT) |
| Authorized Official Telephone | 9734359463 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Street Address |
1650 MARKET ST STE 2600 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19103-7301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565431 | Allyson Caputa | Behavior Technician | 100 North 18th Street, Suite 300, Philadelphia, PA 19103 | 2020-10-13 |
| 1063062685 | Sarah Seeling | Social Worker | 255 South 17th Street Suite 1010, Suite 1500, Suite 23, Philadelphia, PA 19103 | 2019-09-16 |
| 1730735051 | Jill Verofsky | Counselor | 1180 Jfk Blvd, Suite 1110, Philadelphia, PA 19103 | 2019-08-13 |
| 1932761863 | Barclay Prescription Pharmacy | Pharmacist | 1736 Spruce St, Phila, PA 19103 | 2019-07-01 |
| 1265910459 | Whitney Sue Fricke | Counselor | 2211 Locust St, Philadelphia, PA 19103 | 2018-07-31 |
| 1740784586 | Sara Elizabeth Macintyre | Speech-Language Pathologist | 1845 Walnut Street Suite 1540, Philadelphia, PA 19103 | 2018-03-19 |
| 1326578907 | Danielle D Bercovitch | Speech-Language Pathologist | 1930 S Broad, Philadelphia, PA 19103 | 2017-06-15 |
| 1598114449 | Brooke Elaine Mullen | Dietitian, Registered | 1708 Pine St Apt 1r, Philadelphia, PA 19103 | 2016-06-10 |
| 1972966026 | Alexandra Brady Jatzke | Dietitian, Registered | 1835 Market St Fl 2, Philadelphia, PA 19103 | 2016-04-05 |
| 1932574118 | David Clements Iv | Psychiatry & Neurology | 1845 Walnut St Ste 1540, Philadelphia, PA 19103 | 2015-12-14 |
| Find all providers in zip 19103 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013538891 | Vital Alliance Home Care | Hospice Care, Community Based | 3629 Whitehall Ln, Philadelphia, PA 19114-1826 | 2020-05-02 |
| 1912526344 | Philadelphia Family Home Care LLC | Hospice Care, Community Based | 1320 N Franklin St, Philadelphia, PA 19122-4590 | 2020-04-15 |
| 1366071789 | Benevolent Touch Home Healthcare Agency | Hospice Care, Community Based | 6439 Greene St Apt C9, Philadelphia, PA 19119-3236 | 2020-04-07 |
| 1659839470 | Cross Rivers, LLC | Hospice Care, Community Based | 1500 Jfk Blvd Ste 1900, Philadelphia, PA 19102-1714 | 2019-03-11 |
| 1629544283 | Liberty Bell Home Care Services, Inc. | Hospice Care, Community Based | 449 W Dauphin St, Philadelphia, PA 19133-2916 | 2018-10-22 |
| 1386123867 | Aidecare Hospice Inc | Hospice Care, Community Based | 6421 Castor Ave, Philadelphia, PA 19149-2736 | 2018-08-07 |
| 1477047884 | Shanell S Greene | Hospice Care, Community Based | 542 S 54th St, Philadelphia, PA 19143-1916 | 2018-06-19 |
| 1003338823 | Love Begins Home Care LLC | Hospice Care, Community Based | 5636 Pemberton St, Philadelphia, PA 19143-2420 | 2017-07-13 |
| 1346693496 | Legendary Support Coordination, LLC | Hospice Care, Community Based | 4950 Parkside Ave Ste 102, Philadelphia, PA 19131-4700 | 2016-07-13 |
| 1780055210 | Dor To Dor Home Care | Hospice Care, Community Based | 6324 Shelbourne St, Philadelphia, PA 19111-5615 | 2015-10-09 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19103 |
Please comment or provide details below to improve the information on ENNOBLE CARE OF PENNSYLVANIA LLC.
| 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.