Organization Active NPI

Home Health Agency-Philadelphia, LLC

  • Home Health Agency
  • Elkins Park, PA
National Provider Identifier
1457345209
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2440501 Issued in PA
Legal business name
HOME HEALTH AGENCY-PHILADELPHIA, LLC
Practice address
872 Jenkintown Rd
Suite 2
Elkins Park, PA 19027-1649
Phone
(215) 885-1490
Fax
(215) 885-1642
NPI assigned
Sep 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Authorized official

Name
Jorge Rico
Title
Manager
Phone
(305) 476-5160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2440501 PA Primary

Addresses

Primary practice location

872 Jenkintown Rd
Suite 2
Elkins Park, PA 19027-1649

Mailing address

510 Hospital Dr
Suite 100
Madison, TN 37115-5033
Phone (615) 712-2250

Other names 1

  • Omni Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

872 Jenkintown Rd
Ste 2
Elkins Park, PA 19027
Phone (215) 885-1490

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1457345209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 HOSPITAL DR",
            "address_2": "SUITE 100",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155033",
            "telephone_number": "615-712-2250",
            "fax_number": "615-577-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 JENKINTOWN RD",
            "address_2": "SUITE 2",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271649",
            "telephone_number": "215-885-1490",
            "fax_number": "215-885-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH AGENCY-PHILADELPHIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "RICO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-476-5160"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "2440501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omni Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkins Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.