Active NPI
National Care Human Services LLC
- Mental Illness Community Based Residential Treatment Facility
- Willow Grove, PA
National Provider Identifier
1033590815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- 102891566
- Legal business name
- NATIONAL CARE HUMAN SERVICES LLC
- Practice address
- 2300 Computer Rd Ste A5
Willow Grove, PA 19090-1733 - Phone
- (215) 346-2499
- Fax
- (215) 383-5038
- NPI assigned
- Jun 17, 2015
- Last updated
- Jun 17, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bryan Johnson
- Title
- Ceo
- Phone
- (267) 333-3608
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 102891566 | PA | Primary |
Addresses
Primary practice location
2300 Computer Rd Ste A5
Willow Grove, PA 19090-1733
Mailing address
2300 Computer Rd Ste A5
Willow Grove, PA 19090-1733
Phone (215) 346-2499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102891566 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- National Care Human Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- King of Prussia, PA
- NPI 1831516384
Locations
2300 Computer Rd
Ste A5
Willow Grove, PA 19090
Phone (215) 346-2499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434499200000",
"number": "1033590815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 COMPUTER RD STE A5",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901733",
"telephone_number": "215-346-2499",
"fax_number": "215-383-5038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 COMPUTER RD STE A5",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901733",
"telephone_number": "215-346-2499",
"fax_number": "215-383-5038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIONAL CARE HUMAN SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-17",
"last_updated": "2015-06-17",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "267-333-3608"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "PA",
"license": "102891566",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102891566",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willow Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.