Pennsylvania Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PENNSYLVANIA HOME CARE

Practice address

620 Freedom Business Ctr Dr
Suite 105
King of Prussia, PA 19406-1330

Phone

(610) 205-2440

Fax

(610) 205-2468

NPI assigned

Sep 19, 2005

Last updated

Oct 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Anthony P Angelo

Title

Vice President- Compliance

Phone

(610) 205-2440

Specialties & licenses 1

Addresses

Other identifiers 8

Tax ID family

Pennsylvania Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pennsylvania Home Care, Inc

  • Home Health Agency
  • Wilkes Barre, PA
  • NPI 1730369315
  NPD tax ID

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1629063425",
    "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": "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "ANGELO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VICE PRESIDENT- COMPLIANCE",
        "authorized_official_telephone_number": "610-205-2440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BC",
            "identifier": "0007783000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HMO",
            "identifier": "802384",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY",
            "identifier": "287470",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL PLAN FEP 104 &105",
            "identifier": "397190",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADMIN",
            "identifier": "C09743",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2333",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF NORTHEAST PA",
            "identifier": "397190",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADMIN",
            "identifier": "B821",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Associates, Inc
• Irving Pena
• Dominique Pendleton
• Pennsylvania CVS Pharmacy LLC (CVS Pharmacy #17585)
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #02481)
• Robert Bernard Perch, MD
• Jonathan Rick Perez, DO
• Erin K Perry, LCSW
• Amber B Petrozino, DPT
• Christina Pettet, PT, DPT

• Home Health Agency in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.