Organization Active NPI

Public Choice Homecare LLC

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1346714813
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PUBLIC CHOICE HOMECARE LLC
Practice address
9202 Old Newtown Rd
Philadelphia, PA 19115-4908
Phone
(215) 907-7003
NPI assigned
Jan 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Authorized official

Name
Mr. Gregory Cheatham Jr.
Title
Owner
Phone
(215) 907-7003

Specialties & licenses 1

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

Addresses

Primary practice location

9202 Old Newtown Rd
Philadelphia, PA 19115-4908

Mailing address

1708 Mohican St
Philadelphia, PA 19138-1116
Phone (215) 907-7003

Other identifiers 1

IdentifierTypeStateIssuer
30905303MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559001600000",
    "number": "1346714813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 MOHICAN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191381116",
            "telephone_number": "215-907-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9202 OLD NEWTOWN RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154908",
            "telephone_number": "215-907-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC CHOICE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-05-28",
        "status": "A",
        "authorized_official_last_name": "CHEATHAM",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-907-7003",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30905303",
            "state": "PA"
        }
    ],
    "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 May 28, 2019; 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.