North City Congress

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

31923601 Issued in PA

Legal business name

NORTH CITY CONGRESS

Practice address

827 N Franklin St
Philadelphia, PA 19123-2004

Phone

(215) 978-1320

NPI assigned

Feb 16, 2017

Organization subpart

No

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

Authorized official

Name

Joan Hardaway, MS MBA

Title

Executive Director

Phone

(215) 978-1300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Home health agency certification: CCN 398383

Legal name

NORTH CITY CONGRESS

Doing business as

MARIGOLD HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 19, 2025

Last certification

Jan 29, 2025

Organization structure

CorporationNon-profit

Incorporated

Mar 25, 1965 in PA

Enrollment address

827 N Franklin St
Philadelphia, PA 19123-2004

Listed as

Marigold Home Healthcare ServiceCCN 398383

Ownership

-

Certified

Feb 19, 2025

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 8

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

• Valarie Jordan, DNP, PMHNP-BC, RN

  • Psychiatric/Mental Health Registered Nurse
  • Phila, PA
  • NPI 1720781321
  NPD
• Monica Joyner

  • Pastoral Counselor
  • Philadelphia, PA
  • NPI 1043990922
  NPD
• Nicole Latney

  • Mental Health Counselor
  • Philadelphia, PA
  • NPI 1740960822
  NPD
• Matt McCullough

  • Mental Health Counselor
  • Philadelphia, PA
  • NPI 1720787765
  NPD
• Abel Timothy Tootle Jr., MSS, MLSP, GC-C

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1295437218
  NPD
• Mengjun Wang

  • Mental Health Counselor
  • Philadelphia, PA
  • NPI 1487353678
  NPD
• Rodneah Wright

  • Psychiatric/Mental Health Nurse Practitioner
  • Phila, PA
  • NPI 1831911411
  NPD
• Analia Inaaya Riemer, LPC

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1588504724
  NPD (past)

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1255870838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 N FRANKLIN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191232004",
            "telephone_number": "215-978-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 N FRANKLIN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191232004",
            "telephone_number": "215-978-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CITY CONGRESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "HARDAWAY",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-978-1300",
        "authorized_official_credential": "MS MBA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "31923601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Norris, R.D.
• Marisol S Norris, PHD, LAPC, MT-BC
• Maxwell Norris
• Robert B Norris, M.D.
• North American RX I Wear Inc
• North East Fitness Chiropractic
• North Friends Senior Care Inc
• North Philadelphia Family Practice
• North Philadelphia Health System
• North Philadelphia Health System

• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, 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 Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.