Organization Active NPI

Johnson Senior Homecare Agency, Inc.

  • Home Health Agency
  • Phila, PA
National Provider Identifier
1649846411
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JOHNSON SENIOR HOMECARE AGENCY, INC.
Practice address
710 N 49TH St
Phila, PA 19139-2128
Phone
(215) 908-6349
NPI assigned
Jun 2, 2021
Last updated
Jun 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Authorized official

Name
Mr. Bernard Johnson
Title
Director
Phone
(215) 908-6349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

710 N 49TH St
Phila, PA 19139-2128

Mailing address

710 N 49TH St
Phila, PA 19139-2128
Phone (215) 908-6349

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1649846411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N 49TH ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191392128",
            "telephone_number": "215-908-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N 49TH ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191392128",
            "telephone_number": "215-908-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON SENIOR HOMECARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-908-6349",
        "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 Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.