NPIMap

Organization Active NPI

Patriotcare Home Services

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1184076655
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PATRIOTCARE HOME SERVICES
Practice address
1700 Market St
Suite 1005
Philadelphia, PA 19103-3913
Phone
(302) 465-2261
NPI assigned
Jul 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Authorized official

Name
Miss Sueduka Gibbs, MBA
Title
Director
Phone
(302) 465-2261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1700 Market St
Suite 1005
Philadelphia, PA 19103-3913

Mailing address

1700 Market St
Suite 1005
Philadelphia, PA 19103-3913
Phone (302) 465-2261

Other identifiers 1

IdentifierTypeStateIssuer
376J00000XMedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Patriotcare Home Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1184076655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MARKET ST",
            "address_2": "SUITE 1005",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191033913",
            "telephone_number": "302-465-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MARKET ST",
            "address_2": "SUITE 1005",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191033913",
            "telephone_number": "302-465-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOTCARE HOME SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "SUEDUKA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "302-465-2261",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376J00000X",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "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 8, 2016; 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.