IMMEDIATE HOME CARE LLC
NPI 1124029467
Home Health in Philadelphia, PA

Q: What is Immediate Home Care LLC's NPI number?

The NPI number for Immediate Home Care LLC is 1124029467. It was assigned to this organization in the NPPES registry on August 9, 2005.

Q: What is Immediate Home Care LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since August 09, 2005CLIA 39D0907215 · Waiver

3901 MARKET ST STE 4B, PHILADELPHIA, PA 19104(215) 638-2223 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2024, Jul 10, 2024, Aug 23, 2023 (3 updates tracked since 2023).

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About Immediate Home Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMMEDIATE HOME CARE LLC (NPI 1124029467) is a healthcare organization registered as a home health in Philadelphia, Pennsylvania and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through October 10, 2027 and lists Mari Willis, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1124029467

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameIMMEDIATE HOME CARE LLC

Location Address3901 MARKET ST STE 4BPhiladelphia, PA 19104-3133

Mailing Address3901 Market St Ste 4bPhiladelphia, PA 19104-3133 · (215) 638-2223

Phone(215) 638-2223

Organization SubpartNo

Authorized OfficialMari WillisAuthorized Official · (216) 970-1189

Enumeration DateAugust 9, 2005

Last NPPES UpdateAugust 14, 20243 updates tracked since enumeration

NPPES CertifiedAugust 14, 2024

✔ NPI 1124029467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in PA · 765005

Definition

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.

3901 MARKET ST STE 4B, Philadelphia, PA 19104

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0907215

Immediate Homecare LLC D/B/A Immediate Homecare And Hospice · Philadelphia, PA

Active · expires Oct 10, 2027

CLIA Number39D0907215

Laboratory TypeHome Health Agency

Certificate Effective DateOctober 11, 2025

Certificate Expiration DateOctober 10, 2027

Laboratory DirectorPatricia H. Dullek

Laboratory Phone(215) 638-2223

Laboratory LocationImmediate Homecare LLC D/B/A Immediate Homecare And Hospice3901 Market St, Philadelphia, PA 19107

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IMMEDIATE HOMECARE & HOSPICE

Home Health

3901 MARKET ST STE 4B
PHILADELPHIA, PA 19104

Philadelphia County (215) 638-2223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Immediate Home Care LLC's NPI number?

The NPI number for Immediate Home Care LLC is 1124029467. It was assigned to this organization in the NPPES registry on August 9, 2005.

Where is Immediate Home Care LLC located?

Immediate Home Care LLC is located at 3901 Market St Ste 4B, Philadelphia, PA 19104. The listed phone number is (215) 638-2223.

What is Immediate Home Care LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Immediate Home Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0907215) is associated with this NPI, valid through October 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Immediate Home Care LLC was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.