Organization Active NPI

October Home Care Inc

  • Home Health Agency
  • Tobyhanna, PA
National Provider Identifier
1104404334
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OCTOBER HOME CARE INC
Practice address
300 Community Dr Ste B2
Tobyhanna, PA 18466-8992
Phone
(718) 314-6330
NPI assigned
Mar 30, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Anastasiya Dadashev
Title
Owner
Phone
(718) 314-6330

National Provider Directory

National Provider Directory

Locations

300 Community Dr
Ste B2
Tobyhanna, PA 18466
Phone (718) 314-6330

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

300 Community Dr Ste B2
Tobyhanna, PA 18466-8992

Mailing address

300 Community Dr Ste B2
Tobyhanna, PA 18466-8992
Phone (718) 314-6330

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 31, 2021.

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1104404334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DR STE B2",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184668992",
            "telephone_number": "718-314-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DR STE B2",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184668992",
            "telephone_number": "718-314-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTOBER HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "DADASHEV",
        "authorized_official_first_name": "ANASTASIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-314-6330"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tobyhanna, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.