NPIMap

Organization Active NPI

Northern Home Children and Family Service

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1689893877
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NORTHERN HOME CHILDREN AND FAMILY SERVICE
Practice address
5301 Ridge Ave
Philadelphia, PA 19128-3757
Phone
(215) 482-1423
Fax
(215) 483-7855
NPI assigned
Apr 25, 2007
Last updated
Mar 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Authorized official

Name
Renata Cobbs-Fletcher, M.S.
Title
President and Ceo
Phone
(215) 482-1423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

5301 Ridge Ave
Philadelphia, PA 19128-3757

Mailing address

5301 Ridge Ave
Philadelphia, PA 19128-3757
Phone (215) 482-1423

Other identifiers 10

IdentifierTypeStateIssuer
1007782000003MedicaidPA
1007782000100MedicaidPA
1007782000010MedicaidPA
1007782000102MedicaidPA
1007782000101MedicaidPA
1007782001009MedicaidPA
1007782000009MedicaidPA
1007782000011MedicaidPA
1007782000001MedicaidPA
1007782000004MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Northern Home for Children and Family Service11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1689893877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 RIDGE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191283757",
            "telephone_number": "215-482-1423",
            "fax_number": "215-483-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 RIDGE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191283757",
            "telephone_number": "215-482-1423",
            "fax_number": "215-483-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN HOME CHILDREN AND FAMILY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "COBBS-FLETCHER",
        "authorized_official_first_name": "RENATA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "215-482-1423",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007782000003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007782000100",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007782000010",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007782000102",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007782000101",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007782001009",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007782000009",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007782000011",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007782000001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007782000004",
            "state": "PA"
        }
    ],
    "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 Mar 24, 2016; 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.