Organization Active NPI

PHHC, LLC

  • Home Health Agency
  • Worcester, MA
National Provider Identifier
1265802433
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PHHC, LLC
Doing business as
PRIMARY HOME HEALTH CARE
Practice address
300 Pleasant St
Worcester, MA 01609-2025
Phone
(617) 299-0719
NPI assigned
Sep 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Mr. Enrique Crockett
Title
Owner / Member
Phone
(617) 299-0719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

300 Pleasant St
Worcester, MA 01609-2025

Mailing address

210 Park Ave
Suite 222
Worcester, MA 01609-2246
Phone (617) 299-0719

Other names 1

  • PRIMARY HOME HEALTH CARE Doing business as

National Provider Directory

National Provider Directory

Locations

300 Pleasant St
Worcester, MA 01609
Phone (617) 299-0719

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1265802433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PARK AVE",
            "address_2": "SUITE 222",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092246",
            "telephone_number": "617-299-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PLEASANT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092025",
            "telephone_number": "617-299-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "CROCKETT",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER / MEMBER",
        "authorized_official_telephone_number": "617-299-0719",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIMARY HOME HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.