Blue Chip Homecare LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

BLUE CHIP HOMECARE LLC

Practice address

5225 W Girard Ave
Philadelphia, PA 19131-4330

Phone

(267) 634-6492

NPI assigned

Jul 20, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Shelton

Title

President

Phone

(215) 490-2811

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: ronald@bluechiphca.com

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1336757962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 W GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191314330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 W GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191314330",
            "telephone_number": "267-634-6492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE CHIP HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-490-2811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38463601",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ronald@bluechiphca.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5225 W Girard Ave",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191314330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cara Blouin, MA
• Medina T Blount-Darty, R.N.
• Betty Martin Blount, RN, ED.D.
• Sandra Cora Blount, LPN
• Dorothy S Bloy, MD
• Blue Cross Ambulance, Inc
• Blue Ocean Home Care LLC
• Blue Peak Group Supply Inc
• Blue Peak Group Supply Inc
• Blue Peak Group Supply Inc

• Nursing Care Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Nursing Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.