Birches at Home, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

21883601 Issued in PA

Legal business name

BIRCHES AT HOME, LLC

Practice address

345 Main Street
Suite 104
Harleysville, PA 19438

Phone

(267) 933-6800

Fax

(267) 933-6803

NPI assigned

Oct 26, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Gregory F. Bobke, JD

Title

Cfo

Phone

(215) 793-4445

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1053697771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 MAIN STREET",
            "address_2": "SUITE 104",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "19438",
            "telephone_number": "267-933-6800",
            "fax_number": "267-933-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 MAIN STREET",
            "address_2": "SUITE 104",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "19438",
            "telephone_number": "267-933-6800",
            "fax_number": "267-933-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCHES AT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "BOBKE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "215-793-4445",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "21883601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21883601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Harleysville, PA
• Providers in Harleysville, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.