Organization Active NPI

New Century Home Care LLC

  • Home Health Aide
  • Philadelphia, PA
National Provider Identifier
1558822809
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
NEW CENTURY HOME CARE LLC
Practice address
2702 N 5TH St
Philadelphia, PA 19133-2701
Phone
(267) 938-5142
Fax
(267) 938-5143
NPI assigned
Mar 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Ruth Reider
Title
Ceo
Phone
(267) 938-5142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

2702 N 5TH St
Philadelphia, PA 19133-2701

Mailing address

2702 N 5TH St
Philadelphia, PA 19133-2701
Phone (267) 938-5142

Other identifiers 1

IdentifierTypeStateIssuer
123156456MedicaidPA

National Provider Directory

National Provider Directory

Locations

2702 N 5th St
Philadelphia, PA 19133
Phone (267) 938-5142

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1558822809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191332701",
            "telephone_number": "267-938-5142",
            "fax_number": "267-938-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191332701",
            "telephone_number": "267-938-5142",
            "fax_number": "267-938-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CENTURY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "REIDER",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-938-5142"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123156456",
            "state": "PA"
        }
    ],
    "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 Jun 11, 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.