NPIMap

Organization Active NPI

Person-Centered Home & Community Services, Inc.

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1700166816
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
21753601 Issued in PA
Legal business name
PERSON-CENTERED HOME & COMMUNITY SERVICES, INC.
Practice address
1720 Memorial Ave
3
Philadelphia, PA 19104-1018
Phone
(215) 432-5446
NPI assigned
Aug 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
Mr. Jerome Francis Williams Sr., MBA
Title
President/Ceo/Owner
Phone
(215) 432-5446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 21753601 PA Primary

Addresses

Primary practice location

1720 Memorial Ave
3
Philadelphia, PA 19104-1018

Mailing address

1720 Memorial Ave
3
Philadelphia, PA 19104-1018
Phone (215) 432-5446

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1700166816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 MEMORIAL AVE",
            "address_2": "3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191041018",
            "telephone_number": "215-432-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 MEMORIAL AVE",
            "address_2": "3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191041018",
            "telephone_number": "215-432-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSON-CENTERED HOME & COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT/CEO/OWNER",
        "authorized_official_telephone_number": "215-432-5446",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "21753601",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 19, 2011; 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.