Active NPI
Farencie Baucom
- In Home Supportive Care Agency
- Conshohocken, PA
National Provider Identifier
1225919301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 82493601
- Practice address
- 200 Barr Harbor Dr Ste 400
Conshohocken, PA 19428-2978 - Phone
- (215) 617-8584
- NPI assigned
- Sep 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | 82493601 | PA | |
| Respite Care | 385H00000X | 82493601 | PA | |
| In Home Supportive Care Agency | 253Z00000X | 82493601 | PA | Primary |
Addresses
Primary practice location
200 Barr Harbor Dr Ste 400
Conshohocken, PA 19428-2978
Mailing address
415 E Sedgwick St
Philadelphia, PA 19119-1307
Phone (215) 617-8584
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82493601 | PA | MD | In Home Supportive Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1225919301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 E SEDGWICK ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191191307",
"telephone_number": "215-617-8584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BARR HARBOR DR STE 400",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282978",
"telephone_number": "215-617-8584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUCOM",
"first_name": "FARENCIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-08",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": "PA",
"license": "82493601",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "PA",
"license": "82493601",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "PA",
"license": "82493601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conshohocken, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.