NPIMap

Organization Active NPI

Preferred Geriatric Health Care,LLC

  • Home Health Agency
  • Phila, PA
National Provider Identifier
1295074045
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
23573601 Issued in PA
Legal business name
PREFERRED GERIATRIC HEALTH CARE,LLC
Practice address
272 S 56TH St
Phila, PA 19139-3903
Phone
(215) 551-5620
Fax
(215) 474-4850
NPI assigned
Feb 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Authorized official

Name
Ms. Michelle Orisha Bourne
Title
Ceo
Phone
(215) 551-5620

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 23573601 PA
Home Health Agency 251E00000X 23573601 PA Primary
Public Health or Welfare Agency 251K00000X 23573601 PA
Community/Behavioral Health Agency 251S00000X 23573601 PA
Voluntary or Charitable Agency 251V00000X 23573601 PA
Foster Care Agency 253J00000X 23573601 PA
Assisted Living Facility (Mental Illness) 3104A0625X 23573601 PA
Mental Illness Intermediate Care Facility 310500000X 23573601 PA
Adult Care Home Facility 311ZA0620X 23573601 PA
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 23573601 PA
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 23573601 PA
Children's Substance Abuse Rehabilitation Facility 3245S0500X 23573601 PA
Child Mental Illness Respite Care 385HR2055X 23573601 PA
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 23573601 PA
Child Physical Disabilities Respite Care 385HR2065X 23573601 PA

Addresses

Primary practice location

272 S 56TH St
Phila, PA 19139-3903

Mailing address

272 S 56TH St
Philadelphia, PA 19139-3903
Phone (215) 551-5620

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1295074045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 S 56TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393903",
            "telephone_number": "215-551-5620",
            "fax_number": "215-474-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 S 56TH ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191393903",
            "telephone_number": "215-551-5620",
            "fax_number": "215-474-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED GERIATRIC HEALTH CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "BOURNE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ORISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-551-5620",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "PA",
            "license": "23573601",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "23573601",
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "PA",
            "license": "23573601",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "23573601",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "PA",
            "license": "23573601",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "PA",
            "license": "23573601",
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "PA",
            "license": "23573601",
            "primary": false
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "PA",
            "license": "23573601",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "PA",
            "license": "23573601",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "23573601",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "PA",
            "license": "23573601",
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "PA",
            "license": "23573601",
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "PA",
            "license": "23573601",
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "PA",
            "license": "23573601",
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "PA",
            "license": "23573601",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 8, 2013; 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.