Active NPI
Good Hands Home Care
- Case Manager/Care Coordinator
- King of Prussia, PA
National Provider Identifier
1053808782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 34153601
- Legal business name
- GOOD HANDS HOME CARE
- Practice address
- 630 Freedom Business Ctr Dr FL 3
King of Prussia, PA 19406-1331 - Phone
- (610) 285-1095
- Fax
- (215) 359-0616
- NPI assigned
- Apr 18, 2018
- 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
- Zackline Mendy
- Title
- Director
- Phone
- (610) 285-1095
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 34153601 | Primary |
Addresses
Primary practice location
630 Freedom Business Ctr Dr FL 3
King of Prussia, PA 19406-1331
Mailing address
630 Freedom Business Ctr Dr FL 3
King of Prussia, PA 19406-1331
Phone (102) 851-0956
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708387200000",
"number": "1053808782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 FREEDOM BUSINESS CTR DR FL 3",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194061331",
"telephone_number": "102-851-0956",
"fax_number": "215-359-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 FREEDOM BUSINESS CTR DR FL 3",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194061331",
"telephone_number": "610-285-1095",
"fax_number": "215-359-0616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD HANDS HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-18",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A",
"authorized_official_last_name": "MENDY",
"authorized_official_first_name": "ZACKLINE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "610-285-1095"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": "34153601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.