Organization Active NPI

Home Care of the Main Line

Doing business as 2nd Family Main Line

  • In Home Supportive Care Agency
  • Ardmore, PA
National Provider Identifier
1629724828
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HOME CARE OF THE MAIN LINE
Doing business as
2nd Family Main Line
Practice address
40 E Montgomery Ave
Ardmore, PA 19003-2421
Phone
(610) 719-3223
NPI assigned
Feb 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Christopher Glowacki
Title
Owner
Phone
(610) 719-3223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

40 E Montgomery Ave
Ardmore, PA 19003-2421

Mailing address

40 E Montgomery Ave FL 4
Ardmore, PA 19003-2421
Phone (610) 719-3223

Other names 1

  • 2nd Family Main Line Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@2ndfamilymainline.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1629724828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E MONTGOMERY AVE FL 4",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032421",
            "telephone_number": "610-719-3223",
            "fax_number": "610-719-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E MONTGOMERY AVE",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032421",
            "telephone_number": "610-719-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE OF THE MAIN LINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2024-03-04",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "GLOWACKI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-719-3223"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@2ndfamilymainline.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "40 E Montgomery Ave",
            "city": "Ardmore",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190032421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "2nd Family Main Line",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "2nd Family Main Line",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ardmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.