Organization Active NPI

Bodega Cares LLC

  • Home Health Agency
  • Reading, PA
National Provider Identifier
1144959925
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BODEGA CARES LLC
Practice address
211 Endlich Ave
Reading, PA 19606-2117
Phone
(814) 366-1526
NPI assigned
Jun 7, 2022
Last updated
Jun 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Mr. Chance Wheeler
Title
Cvo
Phone
(814) 366-1526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

211 Endlich Ave
Reading, PA 19606-2117

Mailing address

211 Endlich Ave
Reading, PA 19606-2117
Phone (814) 366-1526

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1144959925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 ENDLICH AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196062117",
            "telephone_number": "814-366-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 ENDLICH AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196062117",
            "telephone_number": "814-366-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODEGA CARES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "CHANCE",
        "authorized_official_title_or_position": "CVO",
        "authorized_official_telephone_number": "814-366-1526",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.