Active NPI
Selfhelp Special Family Home Care Inc
- Home Health Agency
- New York, NY
National Provider Identifier
1477556199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 7002651
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01559026 | Medicaid | NY | |
| 7002651 | Other | CERTIFICATE 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 DirectoryLocations
520 8th Ave
Fl 5
New York, NY 10018
Phone (212) 971-7600
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Dec 20, 2023 | Change of Ownership | Advent Health Care Services, LLC |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.