Organization Active NPI

Professional Home Health Services, Inc

  • Home Health Agency
  • Dover, DE
National Provider Identifier
1700871506
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROFESSIONAL HOME HEALTH SERVICES, INC
Practice address
2145 S Dupont Hwy
Dover, DE 19901-5561
Phone
(302) 697-7125
Fax
(302) 697-7257
NPI assigned
Sep 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Mr. Anthony P Angelo
Title
Vice President-Compliance
Phone
(610) 205-2440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2145 S Dupont Hwy
Dover, DE 19901-5561

Mailing address

620 Freedom Business Ctr Dr
Suite 105
King of Prussia, PA 19406-1330
Phone (610) 205-2440

Other identifiers 10

IdentifierTypeStateIssuer
0000768314MedicaidDE
BB82OtherDECAREFIRST
2333OtherDEAETNA
243654OtherDEMAMSI
157994OtherDEFEDERAL BC
236383601MedicaidMD
0000045714MedicaidDE
0004963000OtherDEKEYSTONE HEALTH PLAN EAST
1058OtherDEMIDATLANTIC HEALTH PLAN
157994OtherDEBC/BS OF DELAWARE

National Provider Directory

National Provider Directory
Tax ID family
Professional Home Health Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1700871506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 FREEDOM BUSINESS CTR DR",
            "address_2": "SUITE 105",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061330",
            "telephone_number": "610-205-2440",
            "fax_number": "610-205-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 S DUPONT HWY",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199015561",
            "telephone_number": "302-697-7125",
            "fax_number": "302-697-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "ANGELO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VICE PRESIDENT-COMPLIANCE",
        "authorized_official_telephone_number": "610-205-2440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000768314",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "BB82",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2333",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "243654",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BC",
            "identifier": "157994",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236383601",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000045714",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0004963000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDATLANTIC HEALTH PLAN",
            "identifier": "1058",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF DELAWARE",
            "identifier": "157994",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.