Organization Active NPI

Selectiv Choice Home Care Agency

  • Home Health Certified Respiratory Therapist
  • Newtown Square, PA
National Provider Identifier
1548844103
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Certified Respiratory TherapistTaxonomy code 2278H0200X
Legal business name
SELECTIV CHOICE HOME CARE AGENCY
Practice address
3421 W Chester Pike Apt A17
Newtown Square, PA 19073-4230
Phone
(470) 577-2266
NPI assigned
May 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Authorized official

Name
Ajhai Y Gambrell
Title
Owner
Phone
(470) 577-2266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Certified Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2278H0200X Primary

Addresses

Primary practice location

3421 W Chester Pike Apt A17
Newtown Square, PA 19073-4230

Mailing address

3421 W Chester Pike Apt A17
Newtown Square, PA 19073-4230
Phone (470) 577-2266

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Selectivchoicehomecareagency.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1548844103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 W CHESTER PIKE APT A17",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190734230",
            "telephone_number": "470-577-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 W CHESTER PIKE APT A17",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190734230",
            "telephone_number": "470-577-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECTIV CHOICE HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "GAMBRELL",
        "authorized_official_first_name": "AJHAI",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-577-2266"
    },
    "taxonomies": [
        {
            "code": "2278H0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Selectivchoicehomecareagency.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Anything that needs to be communicated or exchanged",
            "address_1": "3421 W Chester Pike Apt A17",
            "city": "Newtown Square",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190734230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.