Organization Active NPI

Selfhelp Special Family Home Care Inc

  • Home Health Agency
  • New York, NY
National Provider Identifier
1477556199
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7002651 Issued in NY
Legal business name
SELFHELP SPECIAL FAMILY HOME CARE INC
Practice address
520 8TH Ave
5TH FLR
New York, NY 10018-6553
Phone
(212) 971-5471
Fax
(212) 290-8039
NPI assigned
May 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Mrs. Phyllis Wahrmann, RN, MA
Title
Director of Patient Services
Phone
(212) 971-7607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7002651 NY Primary

Addresses

Primary practice location

520 8TH Ave
5TH FLR
New York, NY 10018-6553

Mailing address

520 8TH Ave
5TH FLR
New York, NY 10018-6553
Phone (212) 971-5471

Other identifiers 2

IdentifierTypeStateIssuer
01559026MedicaidNY
7002651OtherCERTIFICATE OF AUTHORIZATION NY DEPT OF HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

520 8th Ave
Fl 5
New York, NY 10018
Phone (212) 971-7600

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Dec 20, 2023 Change of OwnershipThis provider was the seller Advent Health Care Services, LLCCCN 337407, NY, NPI 1639945918

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1477556199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 8TH AVE",
            "address_2": "5TH FLR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186553",
            "telephone_number": "212-971-5471",
            "fax_number": "212-290-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 8TH AVE",
            "address_2": "5TH FLR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186553",
            "telephone_number": "212-971-5471",
            "fax_number": "212-290-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELFHELP SPECIAL FAMILY HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "WAHRMANN",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT SERVICES",
        "authorized_official_telephone_number": "212-971-7607",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "7002651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01559026",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF AUTHORIZATION NY DEPT OF HEALTH",
            "identifier": "7002651",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.