Pennstate Home Care Services

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

PENNSTATE HOME CARE SERVICES

Practice address

5223 Germantown Ave Ste 103
Philadelphia, PA 19144-2301

Phone

(267) 399-0314

NPI assigned

Jan 24, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Hussein A Ahmed

Title

President

Phone

(267) 297-7265

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PennState Home Care Services Doing business as

Locations

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1164920104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5223 GERMANTOWN AVE STE 103",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442301",
            "telephone_number": "267-399-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5223 GERMANTOWN AVE STE 103",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442301",
            "telephone_number": "267-399-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSTATE HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-297-7265",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAIVER PROVIDER",
            "identifier": "103374123-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PennState Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Aide in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Aide in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.