NPIMap

Organization Active NPI

Professional Home Health Services, Inc

  • Home Health Agency
  • Elkton, MD
National Provider Identifier
1619134533
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
20586 Issued in MD
Legal business name
PROFESSIONAL HOME HEALTH SERVICES, INC
Practice address
107 Chesapeake Blvd
Suite 114
Elkton, MD 21921-6390
Phone
(410) 398-4733
Fax
(410) 620-2723
NPI assigned
May 19, 2008
Last updated
May 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Mrs. Carol L Smith
Title
Sr Corp Director Billing
Phone
(610) 205-2440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 20586 MD Primary

Addresses

Primary practice location

107 Chesapeake Blvd
Suite 114
Elkton, MD 21921-6390

Mailing address

620 Freedom Business Ctr Dr
Suite 105
King of Prussia, PA 19406-1330
Phone (610) 205-2440

Other identifiers 1

IdentifierTypeStateIssuer
004500400MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Professional Home Health Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

107 Chesapeake Blvd
Ste 114
Elkton, MD 21921
Phone (410) 398-4733

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1619134533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 FREEDOM BUSINESS CTR DR",
            "address_2": "SUITE 105",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061330",
            "telephone_number": "610-205-2440",
            "fax_number": "610-205-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CHESAPEAKE BLVD",
            "address_2": "SUITE 114",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216390",
            "telephone_number": "410-398-4733",
            "fax_number": "410-620-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SR CORP DIRECTOR BILLING",
        "authorized_official_telephone_number": "610-205-2440",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "20586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004500400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.