NPIMap

Organization Active NPI

Project Home

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
National Provider Identifier
1225512031
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PROJECT HOME
Practice address
2913 Kensington Ave
Philadelphia, PA 19134-3016
Phone
(215) 320-6187
NPI assigned
Sep 18, 2018
Organization subpart
Yes
Parent organization
PROJECT HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Monica P Medina McCurdyNPI 1093761116
Title
Vice President Healthcare Services
Phone
(215) 320-6187

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2913 Kensington Ave
Philadelphia, PA 19134-3016

Mailing address

2144 Cecil B Moore Ave
Philadelphia, PA 19121-4014
Phone (215) 320-5187

Other names 1

  • Project HOME - Prevention Point Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Federally qualified health center certification: CCN 391155

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PROJECT HOME
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 5, 2019
Last certification
Dec 5, 2019
Ownership / control type
For profit – corporation
Facility address
2913 Kensington Avenue, Room 4-5
Phila, PA 19134

National Provider Directory

National Provider Directory
Part of
Project Home

Locations

2913 Kensington Ave
Rm 45
Philadelphia, PA 19134
Phone (215) 320-6187

2144 Cecil B Moore Ave
Philadelphia, PA 19121
Phone (215) 320-6187

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFBGDD

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1225512031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 CECIL B MOORE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191214014",
            "telephone_number": "215-320-5187",
            "fax_number": "215-235-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 KENSINGTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191343016",
            "telephone_number": "215-320-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROJECT HOME",
        "enumeration_date": "2018-09-18",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "MEDINA MCCURDY",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VICE PRESIDENT HEALTHCARE SERVICES",
        "authorized_official_telephone_number": "215-320-6187"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Project HOME - Prevention Point",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Project HOME - Prevention Point",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.