Distinctive Homecare LLC
NPI 1013530443ActiveOrganization· Registered Nurse, General Practice· Philadelphia, PA
Registered Nurse, General Practice in Philadelphia, Pennsylvania, registered in NPPES in May 2020. The authorized official on file is Benjamin Degraft Koomson, RN, President.
Overview
| NPI | 1013530443 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 20, 2020 |
| Last updated in NPPES | May 20, 2020 |
| Certified by provider | May 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse, General Practice Primary | 163WG0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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