RESET HOME HEALTH AGENCY LLC
NPI 1861009649
Home Health in Philadelphia, PA

Q: What is Reset Home Health Agency LLC's NPI number?

The NPI number for Reset Home Health Agency LLC is 1861009649. It was assigned to this organization in the NPPES registry on September 25, 2020.

Q: What is Reset Home Health Agency LLC's specialty?

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

Active since September 25, 2020CLIA 39D2259252 · Waiver

5902 OLD YORK RD, PHILADELPHIA, PA 19141(215) 381-7607 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 1, 2023, Sep 25, 2020 (2 updates tracked since 2020).

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About Reset Home Health Agency Llc NPPES

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

RESET HOME HEALTH AGENCY LLC (NPI 1861009649) is a healthcare organization registered as a home health in Philadelphia, Pennsylvania and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through May 3, 2028 and lists Dominika A Ballard, Ceo, as its authorized official.

NPPES Registry Identity

NPI1861009649

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameRESET HOME HEALTH AGENCY LLC

Location Address5902 OLD YORK RDPhiladelphia, PA 19141-2342

Mailing Address5902 Old York RdPhiladelphia, PA 19141-2342 · (215) 927-3738

Phone(215) 381-7607

Organization SubpartNo

Authorized OfficialDominika A BallardCeo · (215) 927-3738

Enumeration DateSeptember 25, 2020

Last NPPES UpdateMarch 1, 20232 updates tracked since enumeration

NPPES CertifiedMarch 1, 2023

✔ NPI 1861009649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

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.

5902 OLD YORK RD, Philadelphia, PA 19141

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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 39D2259252

Reset Home Health Agency LLC · Philadelphia, PA

Active · expires May 3, 2028

CLIA Number39D2259252

Laboratory TypeHome Health Agency

Certificate Effective DateMay 4, 2026

Certificate Expiration DateMay 3, 2028

Laboratory DirectorKatherine Barnes

Laboratory Phone(215) 381-7607

Laboratory LocationReset Home Health Agency LLC5902 Old York Road, Philadelphia, PA 19141

CLIA data matches this NPI record on: Address Name Phone

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

Other Providers at the Same Location NPPES 10

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

SHYANN JOHNSON LPN

Licensed Practical Nurse