Organization Active NPI

Ehomecare

  • In Home Supportive Care Agency
  • Concord, NC
National Provider Identifier
1417593005
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EHOMECARE
Practice address
18 Palaside Dr NE
Concord, NC 28025-3026
Phone
(215) 858-7685
Fax
(267) 295-9982
NPI assigned
Nov 19, 2019
Last updated
Feb 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Ellen Amudipe
Title
President
Phone
(215) 858-7685

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Adult Day Care Clinic/Center 261QA0600X
Clinical Medical Laboratory 291U00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Home Delivered Meals 332U00000X
Respite Care 385H00000X
Early Intervention Provider Agency 252Y00000X
In Home Supportive Care Agency 253Z00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

18 Palaside Dr NE
Concord, NC 28025-3026

Mailing address

90 Norristown Rd
Blue Bell, PA 19422-2802
Phone (215) 858-7685

Other practice location 1

90 Norristown Rd
Blue Bell, PA 19422-2802
Phone (215) 858-7685

Other names 1

  • EHOMECARE FRANCHISING Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1417593005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 NORRISTOWN RD",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222802",
            "telephone_number": "215-858-7685",
            "fax_number": "267-295-9982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 PALASIDE DR NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280253026",
            "telephone_number": "215-858-7685",
            "fax_number": "267-295-9982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Norristown Rd",
            "address_purpose": "LOCATION",
            "city": "Blue Bell",
            "state": "PA",
            "postal_code": "194222802",
            "country_code": "US",
            "telephone_number": "215-858-7685",
            "fax_number": "267-295-9982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EHOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "AMUDIPE",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-858-7685"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EHOMECARE FRANCHISING",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.