Active NPI
One Care, Inc
- Home Health Agency
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 0012
- Legal business name
- ONE CARE, INC
- Practice address
- 8400 Bustleton Ave Ste 5
Philadelphia, PA 19152-1918 - Phone
- (240) 501-3043
- Fax
- (301) 495-0318
- NPI assigned
- May 10, 2011
- 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
- Mr. Matutu Nyabange
- Title
- Ceo
- Phone
- (240) 501-3043
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 0012 | PA | Primary |
Addresses
Primary practice location
8400 Bustleton Ave Ste 5
Philadelphia, PA 19152-1918
Mailing address
8400 Bustleton Ave Ste 5
Philadelphia, PA 19152-1918
Phone (240) 501-3043
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110718000497 | PA | Part A Provider - Home Health Agency | 3274711080 | Practice locations: Philadelphia, PA |
Home health agency certification: CCN 398221
- Legal name
- ONE CARE, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 15, 2014
- Last certification
- Aug 14, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Nov 13, 2009 in DC
- Enrollment address
- 10050 E Roosevelt Blvd
1St Floor
Philadelphia, PA 19116-3965
Care Compare: Home health agency
Medicare Care Compare- Listed as
- One Care, Inc
- Ownership
- Proprietary
- Certified
- Apr 15, 2014
- Medicare certification status
- Active
- Services
- Nursing, Home health aide
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2079253 | One Care, Inc | Certificate of waiver | Jun 12, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- One Care NC Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Philadelphia, PA
- NPI 1285055822
-
- In Home Supportive Care Agency
- Archdale, NC
- NPI 1043507197
Locations
2417 Welsh Rd
Ste 201
Philadelphia, PA 19114
Phone (215) 772-1227
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Bobbie Green | Corporate Director | Dec 9, 2012 | |
| Canice Barr | Corporate Officer | Nov 12, 2012 | |
| Matutu Makere Nyabange | 5% Or Greater Direct Ownership Interest | May 20, 2011 | |
| Corporate Director | May 20, 2011 | ||
| W-2 Managing Employee | May 20, 2011 |
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Community Based Hospice Care Agency
- Philadelphia, PA
- NPI 1285055822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304985600000",
"number": "1457643322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8400 BUSTLETON AVE STE 5",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191521918",
"telephone_number": "240-501-3043",
"fax_number": "301-495-0318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8400 BUSTLETON AVE STE 5",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191521918",
"telephone_number": "240-501-3043",
"fax_number": "301-495-0318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONE CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-10",
"last_updated": "2011-05-10",
"status": "A",
"authorized_official_last_name": "NYABANGE",
"authorized_official_first_name": "MATUTU",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "240-501-3043",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "0012",
"primary": true
}
],
"identifiers": [],
"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 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.