Organization Active NPI

National Care Human Services LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Willow Grove, PA
National Provider Identifier
1033590815
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
102891566 Issued in PA
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
102891566MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
National Care Human Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.