Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Keith Johnson

Individual provider In Home Supportive Care Agency · NPI 1992584320

Mr. Keith Johnson is an In Home Supportive Care Agency in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2023

Practice location Address checks out

4946 Parkside Ave Ste 106
Philadelphia, PA 19131-4746
Phone: (267) 603-4989
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X · Licence 55133601 (PA)

Record details

NPI number1992584320
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 25, 2023
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023

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