Active NPI
Home Away From Home Adult Day Center Inc
- Adult Day Care Clinic/Center
- Media, PA
National Provider Identifier
1407429970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- HOME AWAY FROM HOME ADULT DAY CENTER INC
- Practice address
- 1211 N Providence Rd
Media, PA 19063-1204 - Phone
- (484) 442-8370
- Fax
- (610) 200-1234
- NPI assigned
- Jul 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Ferry
- Title
- Owner
- Phone
- (484) 442-8370
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
1211 N Providence Rd
Media, PA 19063-1204
Mailing address
1211 N Providence Rd
Media, PA 19063-1204
Phone (484) 442-8370
National Provider Directory
National Provider DirectoryLocations
1211 N Providence Rd
Media, PA 19063
Phone (484) 442-8370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626825600000",
"number": "1407429970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 N PROVIDENCE RD",
"city": "MEDIA",
"state": "PA",
"postal_code": "190631204",
"telephone_number": "484-442-8370",
"fax_number": "610-200-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 N PROVIDENCE RD",
"city": "MEDIA",
"state": "PA",
"postal_code": "190631204",
"telephone_number": "484-442-8370",
"fax_number": "610-200-1234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME AWAY FROM HOME ADULT DAY CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-21",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A",
"authorized_official_last_name": "FERRY",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "484-442-8370"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.