Organization Active NPI

One Care, Inc

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1457643322
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0012 Issued in PA
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

Updated by the provider on May 10, 2011

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 398221 · All quality measures
Ownership
Proprietary
Certified
Apr 15, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2079253One Care, Inc10050 E Roosevelt Blvd, 1St FLR, Philadelphia, PA 19116Certificate of waiverJun 12, 2028

National Provider Directory

National Provider Directory
Tax ID family
One Care NC Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

NameRoleSinceShare
Bobbie Green Individual Corporate DirectorDirector of Nursing Dec 9, 2012
Canice Barr Individual Corporate OfficerCeo, Administrator Nov 12, 2012
Matutu Makere Nyabange Individual 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.

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

Verify at the official NPI Registry.