Organization Active NPI

Jireh Homehealth Agency

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1609128305
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JIREH HOMEHEALTH AGENCY
Practice address
1315 Walnut St
Suite 1326
Philadelphia, PA 19107-4719
Phone
(215) 735-7702
Fax
(215) 735-7703
NPI assigned
Oct 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Mr. Lewis P. Hannah
Title
President
Phone
(215) 735-7702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1315 Walnut St
Suite 1326
Philadelphia, PA 19107-4719

Mailing address

1315 Walnut St
Suite 1326
Philadelphia, PA 19107-4719
Phone (215) 735-7702

National Provider Directory

National Provider Directory

Locations

1315 Walnut St
Ste 1326
Philadelphia, PA 19107
Phone (215) 546-0464

NPI Registry JSON

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1609128305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 WALNUT ST",
            "address_2": "SUITE 1326",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074719",
            "telephone_number": "215-735-7702",
            "fax_number": "215-735-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 WALNUT ST",
            "address_2": "SUITE 1326",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074719",
            "telephone_number": "215-735-7702",
            "fax_number": "215-735-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIREH HOMEHEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "HANNAH",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-735-7702",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 Oct 5, 2012; 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.