Organization Active NPI

In Home Program

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1275768905
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
397588 Issued in PA
Legal business name
IN HOME PROGRAM
Practice address
739 N 24TH St
Philadelphia, PA 19130-2539
Phone
(215) 232-4357
NPI assigned
May 26, 2009
Organization subpart
Yes
Parent organization
MARS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Authorized official

Name
Christina Visco, RN
Title
Administrator
Phone
(215) 232-4357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 397588 PA Primary

Addresses

Primary practice location

739 N 24TH St
Philadelphia, PA 19130-2539

Mailing address

739 N 24TH St
Philadelphia, PA 19130-2539
Phone (215) 232-4357

Other identifiers 1

IdentifierTypeStateIssuer
001463956002MedicaidPA

Other names 1

  • Journeys Hospice Doing business as

National Provider Directory

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

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1275768905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 N 24TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191302539",
            "telephone_number": "215-232-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 N 24TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191302539",
            "telephone_number": "215-232-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HOME PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARS INC",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "VISCO",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-232-4357",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "397588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001463956002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Journeys Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 26, 2009; 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.