Great Direct Homecare Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GREAT DIRECT HOMECARE INC

Practice address

284 Wyndmoor Cir
Huntingdon Valley, PA 19006-7975

Phone

(646) 726-5971

NPI assigned

Sep 26, 2022

Organization subpart

No

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

Authorized official

Name

Lubaba Khan

Title

Owner

Phone

(646) 726-5971

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1235852161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 WYNDMOOR CIR",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190067975",
            "telephone_number": "646-726-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 WYNDMOOR CIR",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190067975",
            "telephone_number": "646-726-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT DIRECT HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "LUBABA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-726-5971"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Huntingdon Valley, PA
• Providers in Huntingdon Valley, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.