Active NPI
Maxcare HCBS LLC
Doing business as Complete Homecare PA
- In Home Supportive Care Agency
- Harrisburg, PA
National Provider Identifier
1215305107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- MAXCARE HCBS LLC
- Doing business as
- Complete Homecare PA
- Practice address
- 2101 N Front St BLDG 1
Harrisburg, PA 17110-1036 - Phone
- (717) 695-0115
- NPI assigned
- Sep 9, 2015
- Last updated
- Feb 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vikram Kaul
- Title
- President
- Phone
- (917) 847-0810
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
2101 N Front St BLDG 1
Harrisburg, PA 17110-1036
Mailing address
2101 N Front St BLDG 1
Harrisburg, PA 17110-1036
Phone (717) 695-0115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103066493 | Medicaid | PA |
Other names 1
- Complete Homecare PA
National Provider Directory
National Provider DirectoryLocations
2101 N Front St
Bldg 1
Harrisburg, PA 17110
Phone (717) 238-3549
3544 N Progress Ave
Ste 202
Harrisburg, PA 17110
20 Erford Rd
Ste 204
Lemoyne, PA 17043
Phone (717) 761-8332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677456000000",
"number": "1215305107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 N FRONT ST BLDG 1",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171101036",
"telephone_number": "717-695-0115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 N FRONT ST BLDG 1",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171101036",
"telephone_number": "717-695-0115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXCARE HCBS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-09",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A",
"authorized_official_last_name": "KAUL",
"authorized_official_first_name": "VIKRAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-847-0810"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103066493",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Complete Homecare PA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.