Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.
NPI 1205757580
In Home Supportive Care in Philadelphia, PA
Active since July 23, 2026
About NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NPPES Registry Identity
NPI1205757580
Entity TypeOrganization
Primary Taxonomy253Z00000X
Location Address406 N 65TH STPhiladelphia, PA 19151-4003
Mailing Address406 N 65th StPhiladelphia, PA 19151-4003 · (215) 791-8430 · Fax (888) 493-3438
Phone(215) 791-8430
Fax(888) 493-3438
Organization SubpartNo
Authorized OfficialKhaliah MoodyFounder/ceo · (215) 791-8430
Enumeration DateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
✔ NPI 1205757580 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 5
★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
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.
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedAdult CompanionTaxonomy 372600000X
406 N 65TH ST, Philadelphia, PA 19151
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
