Organization Active NPI

First Home Care Corporation

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1699963736
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
122010 Issued in PA
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 CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1016843230001MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Southpoint Family Resourc3 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.