A MOM OF 2 SONS 1 ANGEL LLC
NPI 1326707316
In Home Supportive Care in Philadelphia, PA

Active since December 17, 2021
2047 LOCUST ST FL 4, PHILADELPHIA, PA 19103(267) 773-8525 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • In Home Supportive Care

About A MOM OF 2 SONS 1 ANGEL LLC

This page provides the complete NPI Profile along with additional information for A Mom Of 2 Sons 1 Angel Llc, a provider established in Philadelphia, Pennsylvania operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1326707316 assigned on December 2021. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Shawla Clark (Owner)

NPI
1326707316 Verify this NPI
Provider Name
A MOM OF 2 SONS 1 ANGEL LLC
Entity Type
Organization
Location Address
2047 LOCUST ST FL 4 PHILADELPHIA, PA 19103
Location Phone
(267) 773-8525
Mailing Address
2047 LOCUST ST FL 4 PHILADELPHIA, PA 19103
Mailing Phone
(267) 773-8525
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-17-2021
Last Update Date
12-17-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHAWLA CLARK

Authorized Official Title
OWNER
Authorized Official Phone
(267) 773-8525

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

In Home Supportive Care
2047 LOCUST ST FL 4
PHILADELPHIA, PA 19103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326707316, enumerated as an "organization" on December 17, 2021.

The provider is located at 2047 LOCUST ST FL 4 PHILADELPHIA, PA 19103 and the phone number is (267) 773-8525.

In Home Supportive Care with taxonomy code 253Z00000X.