Organization Active NPI

Midtown Home Health Care LLC

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1124680491
Registry record updated Jul 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MIDTOWN HOME HEALTH CARE LLC
Practice address
8100 Castor Ave
Philadelphia, PA 19152-2726
Phone
(215) 552-2175
Fax
(267) 538-5909
NPI assigned
Jul 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2019

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

Authorized official

Name
Hamdi S Ibrahim, HOME CARE
Title
Officer
Phone
(215) 552-2175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8100 Castor Ave
Philadelphia, PA 19152-2726

Mailing address

8100 Castor Ave
Philadelphia, PA 19152-2726
Phone (215) 552-2175

Other identifiers 1

IdentifierTypeStateIssuer
19152OtherPAZIP CODE

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL PHILADELPHIA Direct
CONNECT URL PHILADELPHIA Direct
CONNECT URL PHILADELPHIA Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

8100 Castor Ave
Philadelphia, PA 19152
Phone (215) 552-2175

NPI Registry JSON

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

{
    "created_epoch": "1562457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562457600000",
    "number": "1124680491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 CASTOR AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522726",
            "telephone_number": "215-552-2175",
            "fax_number": "267-538-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 CASTOR AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522726",
            "telephone_number": "215-552-2175",
            "fax_number": "267-538-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-07",
        "last_updated": "2019-07-07",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "HAMDI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "215-552-2175",
        "authorized_official_credential": "HOME CARE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ZIP CODE",
            "identifier": "19152",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PHILADELPHIA",
            "affiliation": "N",
            "endpointDescription": "PHILADELPHIA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8100 Castor Ave",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191522726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PHILADELPHIA",
            "affiliation": "N",
            "endpointDescription": "HOME CARE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8100 Castor Ave",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191522726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PHILADELPHIA",
            "affiliation": "N",
            "endpointDescription": "HOME CARE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8100 Castor Ave",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191522726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 7, 2019; 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.