Organization Active NPI

In Home Program, Inc.

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1720081680
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
397588 Issued in PA
Legal business name
IN HOME PROGRAM, INC.
Practice address
739 N. 24TH Street
Philadelphia, PA 19130
Phone
(215) 232-4357
Fax
(215) 763-0708
NPI assigned
May 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
David Hatooka
Title
President
Phone
(215) 378-4122

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 758805 PA
Home Health Agency 251E00000X 397588 PA Primary

Addresses

Primary practice location

739 N. 24TH Street
Philadelphia, PA 19130

Mailing address

739 N. 24TH Street
Philadelphia, PA 19130
Phone (215) 232-4357

Other identifiers 2

IdentifierTypeStateIssuer
0014639560004MedicaidPA
0014639560002MedicaidPA

Other names 1

  • MARSCare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031020000025 PA Part A Provider - Home Health Agency 2163334970 Practice locations: Philadelphia, PA

Home health agency certification: CCN 397588

Legal name
IN HOME PROGRAM, INC.
Doing business as
MARSCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 3, 1994
Last certification
Mar 6, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 2, 1993 in PA
Enrollment address
739 N 24TH St
Philadelphia, PA 19130-2539

Care Compare: Home health agency

Medicare Care Compare
Listed as
MarscareCCN 397588
Ownership
Proprietary
Certified
May 3, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
In Home Program3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

743 N 24th St
Philadelphia, PA 19130
Phone (215) 763-3992

739 N 24th St
Philadelphia, PA 19130
Phone (215) 232-4357

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Daniel Hatooka Individual Corporate OfficerSecretary Jun 6, 2024
Corporate DirectorDir of Business Dev Jun 6, 2024
W-2 Managing Employee Jun 6, 2024
David Hatooka Individual 5% Or Greater Indirect Ownership Interest Jun 6, 2025 100%
Corporate OfficerPresident / Ceo Jun 6, 2025
Corporate DirectorCeo / President, Director Jun 6, 2025
Personal Support Homecare LLC Organization, Pittsburgh, PA Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 6, 2024 100%

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1720081680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 N. 24TH STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19130",
            "telephone_number": "215-232-4357",
            "fax_number": "215-763-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 N. 24TH STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19130",
            "telephone_number": "215-232-4357",
            "fax_number": "215-763-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HOME PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "HATOOKA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-378-4122"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "758805",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "397588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014639560004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014639560002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARSCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.