IMMACULATE HOME HEALTHCARE AGENCY LLC
NPI 1942605019
In Home Supportive Care in Levittown, PA

Active since October 30, 2014
79 GRIDIRON RD, LEVITTOWN, PA 19057(610) 809-5385 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Immaculate Home Healthcare Agency Llc NPPES

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

IMMACULATE HOME HEALTHCARE AGENCY LLC (NPI 1942605019) is a healthcare organization registered as an in home supportive care in Levittown, Pennsylvania and active in the NPI registry since October 2014. The organization lists Shomari Dekermu Weedor, Owner, as its authorized official.

NPPES Registry Identity

NPI1942605019
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameIMMACULATE HOME HEALTHCARE AGENCY LLC
Location Address79 GRIDIRON RDLevittown, PA 19057-3809
Mailing Address79 Gridiron RdLevittown, PA 19057-3809 · (610) 809-5385
Organization SubpartNo
Authorized OfficialShomari Dekermu WeedorOwner · (610) 809-5385
Enumeration DateOctober 30, 2014
Last NPPES UpdateJune 23, 2020
NPPES CertifiedJune 23, 2020
NPI 1942605019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
License Licensed in PA · 26083601
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 ListedHome HealthTaxonomy 251E00000X · License 26083601 (PA)
79 GRIDIRON RD, Levittown, PA 19057

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 Immaculate Home Healthcare Agency LLC's NPI number?

The NPI number for Immaculate Home Healthcare Agency LLC is 1942605019. It was assigned to this organization in the NPPES registry on October 30, 2014.

Where is Immaculate Home Healthcare Agency LLC located?

Immaculate Home Healthcare Agency LLC is located at 79 Gridiron Rd, Levittown, PA 19057. The listed phone number is (610) 809-5385.

What is Immaculate Home Healthcare Agency LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Immaculate Home Healthcare Agency LLC was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.