Active NPI
First Home Care Corporation
- Professional Counselor
- Philadelphia, PA
National Provider Identifier
1699963736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 122010
- Legal business name
- FIRST HOME CARE CORPORATION
- Practice address
- 111 N 49TH St
1St Floor
Philadelphia, PA 19139-2718 - Phone
- (215) 472-7291
- Fax
- (215) 472-7296
- NPI assigned
- Oct 12, 2007
- Organization subpart
- Yes
- Parent organization
- ABS LINCS VA,INC FIRST HOME CARE CORP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Troy Bailey
- Title
- Ceo
- Phone
- (757) 966-1864
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 122010 | PA | Primary |
| Community/Behavioral Health Agency | 251S00000X | 122010 | PA | |
| Clinic/Center | 261Q00000X | 122010 | PA | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 122010 | PA |
Addresses
Primary practice location
111 N 49TH St
1St Floor
Philadelphia, PA 19139-2718
Mailing address
7170 Lafayette Ave
Fort Washington, PA 19034-2301
Phone (215) 641-5300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1016843230001 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- Southpoint Family Resourc
- Part of
- Southpoint Family Resourc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Washington, DC
- NPI 1639205560
Locations
7170 Lafayette Ave
Ft Washington, PA 19034
Phone (215) 542-4343
111 N 49th St
Fl 1
Philadelphia, PA 19139
Phone (215) 472-7291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203638400000",
"number": "1699963736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7170 LAFAYETTE AVE",
"city": "FORT WASHINGTON",
"state": "PA",
"postal_code": "190342301",
"telephone_number": "215-641-5300",
"fax_number": "615-653-7872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N 49TH ST",
"address_2": "1ST FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191392718",
"telephone_number": "215-472-7291",
"fax_number": "215-472-7296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST HOME CARE CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ABS LINCS VA,INC FIRST HOME CARE CORP",
"enumeration_date": "2007-10-12",
"last_updated": "2008-02-22",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "TROY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "757-966-1864",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "PA",
"license": "122010",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PA",
"license": "122010",
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "PA",
"license": "122010",
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "PA",
"license": "122010",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1016843230001",
"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 Feb 22, 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.