NPIMap

Organization Active NPI

Complimentary Health Inc

  • Contractor
  • Philadelphia, PA
National Provider Identifier
1548465362
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
COMPLIMENTARY HEALTH INC
Practice address
8355 Loretto Ave
Philadelphia, PA 19152-1830
Phone
(215) 742-7033
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Henry Shephard
Title
Director
Phone
(215) 545-1785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

8355 Loretto Ave
Philadelphia, PA 19152-1830

Mailing address

107 Naudain St
Philadelphia, PA 19147-2406

Other identifiers 1

IdentifierTypeStateIssuer
$$$$$$$$$OtherSSN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548465362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 NAUDAIN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191472406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8355 LORETTO AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521830",
            "telephone_number": "215-742-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLIMENTARY HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEPHARD",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-545-1785",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSN",
            "identifier": "$$$$$$$$$",
            "state": null
        }
    ],
    "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 22, 2020; 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.