NPIMap

Organization Active NPI

In Home Program, Inc.

  • Home Health Agency
  • Phila, PA
National Provider Identifier
1255662482
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
758805 Issued in PA
Legal business name
IN HOME PROGRAM, INC.
Practice address
739 N 24TH St
Phila, PA 19130-2539
Phone
(215) 763-2265
Fax
(215) 763-4146
NPI assigned
Jan 28, 2010
Last updated
Jan 28, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
IN HOME PROGRAM INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
Mr. Paul E. Macdonald
Title
Ceo
Phone
(215) 763-2265

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X 758805 PA
Home Health Agency 251E00000X 758805 PA Primary
Nursing Care Agency 251J00000X 758805 PA

Addresses

Primary practice location

739 N 24TH St
Phila, PA 19130-2539

Mailing address

739 N 24TH St
Phila, PA 19130-2539
Phone (215) 763-2265

Other identifiers 2

IdentifierTypeStateIssuer
0014639560002MedicaidPA
758805OtherPALICENSE

Other names 1

  • IN HOME PROGRAM/PREFERRED HOME CARE Other name

National Provider Directory

National Provider Directory
Tax ID family
In Home Program3 organizations share this tax ID, including this one
Part of
In Home Program

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1255662482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 N 24TH ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191302539",
            "telephone_number": "215-763-2265",
            "fax_number": "215-763-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 N 24TH ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191302539",
            "telephone_number": "215-763-2265",
            "fax_number": "215-763-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HOME PROGRAM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IN HOME PROGRAM INC",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-763-2265",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "758805",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "758805",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "PA",
            "license": "758805",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014639560002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "758805",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IN HOME PROGRAM/PREFERRED HOME CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.