Personal Care Home C&G, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PERSONAL CARE HOME C&G, INC

Practice address

4104 N 5TH St
Philadelphia, PA 19140-2614

Phone

(215) 223-0200

NPI assigned

Mar 5, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel Quartey, PDM

Title

Medical Director

Phone

(215) 471-1407

Specialties & licenses 4

Addresses

Other identifiers 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charmaine Cartagena, SPN

  • Home Health Aide
  • Philadelphia, PA
  • NPI 1285259424
  NPD
• Farhana Jabin

  • Case Manager/Care Coordinator
  • Philadelphia, PA
  • NPI 1588332654
  NPD
• Kulsuma Khanom

  • Home Health Aide
  • Philadelphia, PA
  • NPI 1407470164
  NPD
• Darrell Keith Choates Sr., CARE GIVER

  • Mental Health Counselor
  • Glassboro, NJ
  • NPI 1649710096

  Single Specialty

  NPD
• Claudette Christine Brown, HHA CAREGIVER

  • Home Health Agency
  • Philadelphia, PA
  • NPI 1871034421
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1003356452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6176 NEWTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191115928",
            "telephone_number": "267-978-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191402614",
            "telephone_number": "215-223-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6176 Newtown Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191115928",
            "country_code": "US",
            "telephone_number": "267-978-3040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5201 Wynnefield Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191312456",
            "country_code": "US",
            "telephone_number": "267-978-3040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERSONAL CARE HOME C&G, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-05",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "QUARTEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "215-471-1407",
        "authorized_official_credential": "PDM"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038419160001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Person-Centered Home & Community Services, Inc.
• Keyana Person
• Personal Care Home C&G
• Personal Care Home C&G Medical Clinic, PLLC
• Personal Care Home C&G Medical Clinic, PLLC
• Personal Evolution LLC
• Personal Injury Clinic PC
• Personal Support Medical Suppliers Inc
• Personal Touch Professional Services II
• Julie Martina Perta

• Primary Care Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Primary Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.