NPIMap

Organization Active NPI

Community Care Center of the Northeast

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1265847008
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
12463601 Issued in PA
Legal business name
COMMUNITY CARE CENTER OF THE NORTHEAST
Practice address
2417 Welsh Rd
Suite 202
Philadelphia, PA 19114-2213
Phone
(215) 335-4416
Fax
(215) 338-4426
NPI assigned
Jun 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

Name
Mrs. Nancy H Steinke
Title
Administrator
Phone
(215) 335-4416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 12463601 PA Primary

Addresses

Primary practice location

2417 Welsh Rd
Suite 202
Philadelphia, PA 19114-2213

Mailing address

2417 Welsh Rd
Suite 202
Philadelphia, PA 19114-2213
Phone (215) 335-4416

National Provider Directory

National Provider Directory

Locations

2417 Welsh Rd
Ste 202
Philadelphia, PA 19114
Phone (215) 335-4416

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1265847008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 WELSH RD",
            "address_2": "SUITE 202",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142213",
            "telephone_number": "215-335-4416",
            "fax_number": "215-338-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 WELSH RD",
            "address_2": "SUITE 202",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142213",
            "telephone_number": "215-335-4416",
            "fax_number": "215-338-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE CENTER OF THE NORTHEAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "STEINKE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-335-4416",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "12463601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.