Direct Home Care Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

22883601 Issued in PA

Legal business name

DIRECT HOME CARE INC.

Practice address

6511 Vine St
Philadelphia, PA 19139-1038

Phone

(267) 312-6858

NPI assigned

Jul 25, 2012

Organization subpart

No

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

Authorized official

Name

Gwendolyn E BrownNPI 1740751890

Title

President/Owner

Phone

(267) 312-6858

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gwendolyn Brown

  • Home Health Aide
  • Philadelphia, PA
  • NPI 1740751890
  NPD (past) Authorized official

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1164778338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 VINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191391038",
            "telephone_number": "267-312-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 VINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191391038",
            "telephone_number": "267-312-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "267-312-6858"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "22883601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH",
            "identifier": "251E00000X",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH CARE",
            "identifier": "251E00000X",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN HOME SUPPORTIVE CARE",
            "identifier": "253Z00000X",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Dipietro, PHARMD
• Victoria Lee Dipinto, MS, LPC, NCC
• Amelia Diplock, CPNP
• Theresa M Dippolito, FNP-C
• Direct Draw Services LLC
• Direct Home Health Care
• Direct Mobility Solutions LLC
• Dana Dominique Direnzo, M.D.
• Joseph P Direnzo Jr., DO
• Marie Eileen Dirvin, CRNA

• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.