Access Home Care, Inc.

Key facts

NPI

1164769899

Entity type

Organization (NPI type 2)

Primary specialty

Home Health Agency 251E00000X

License

23853601 (PA)

Legal business name

ACCESS HOME CARE, INC.

Practice address

5525 Harbison Ave
Philadelphia, PA 19124-1552

Phone

(267) 388-1001

Fax

(215) 376-6940

NPI assigned

Jan 15, 2013

Organization subpart

No

Authorized official

Name

Mr. Gennadiy Levit

Title

President

Phone

(267) 388-1001

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 15, 2013.

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1164769899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 HARBISON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191241552",
            "telephone_number": "267-388-1001",
            "fax_number": "215-376-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 HARBISON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191241552",
            "telephone_number": "267-388-1001",
            "fax_number": "215-376-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "LEVIT",
        "authorized_official_first_name": "GENNADIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-388-1001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "PA",
            "license": "23853601",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "23853601",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "23853601",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA DEPARTMENT OF HEALTH",
            "identifier": "23853601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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