Organization Active NPI

Java Home Care, Inc.

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1093258121
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
31833601 Issued in PA
Legal business name
JAVA HOME CARE, INC.
Practice address
6544 Woodland Ave
1St FLR
Philadelphia, PA 19142-2215
Phone
(215) 921-3043
NPI assigned
Nov 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Authorized official

Name
Naana Ashong
Title
Shareholder
Phone
(215) 921-3043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 31833601 PA Primary

Addresses

Primary practice location

6544 Woodland Ave
1St FLR
Philadelphia, PA 19142-2215

Mailing address

6544 Woodland Ave
1St FLR
Philadelphia, PA 19142-2215
Phone (215) 921-3043

Other identifiers 1

IdentifierTypeStateIssuer
31833601MedicaidPA

National Provider Directory

National Provider Directory

Locations

6544 Woodland Ave
#1
Philadelphia, PA 19142
Phone (215) 921-3043

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1093258121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6544 WOODLAND AVE",
            "address_2": "1ST FLR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191422215",
            "telephone_number": "215-921-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6544 WOODLAND AVE",
            "address_2": "1ST FLR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191422215",
            "telephone_number": "215-921-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVA HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "ASHONG",
        "authorized_official_first_name": "NAANA",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "215-921-3043"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "31833601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31833601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.