Organization Active NPI

Integrative Behavioral Homecare

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1487006805
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
INTEGRATIVE BEHAVIORAL HOMECARE
Practice address
1802 Pratt St
Philadelphia, PA 19124-1428
Phone
(215) 917-3623
NPI assigned
Jul 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Authorized official

Name
Dr. Rosilyn T Smith, M.D.
Title
Medical Director
Phone
(215) 917-3623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1802 Pratt St
Philadelphia, PA 19124-1428

Mailing address

1802 Pratt St
Philadelphia, PA 19124-1428
Phone (215) 917-3623

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1487006805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 PRATT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191241428",
            "telephone_number": "215-917-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 PRATT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191241428",
            "telephone_number": "215-917-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE BEHAVIORAL HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-09",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROSILYN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "215-917-3623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "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 Aug 28, 2019; 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.