Active NPI
In Home Program, Inc.
- Home Health Agency
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 397588
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014639560004 | Medicaid | PA | |
| 0014639560002 | Medicaid | PA |
Other names 1
- MARSCare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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
- Marscare
- Ownership
- Proprietary
- Certified
- May 3, 1994
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- In Home Program
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Philadelphia, PA
- NPI 1275768905
-
- Home Health Agency
- Phila, PA
- NPI 1255662482
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Daniel Hatooka | Corporate Officer | Jun 6, 2024 | |
| Corporate Director | Jun 6, 2024 | ||
| W-2 Managing Employee | Jun 6, 2024 | ||
| David Hatooka | 5% Or Greater Indirect Ownership Interest | Jun 6, 2025 | 100% |
| Corporate Officer | Jun 6, 2025 | ||
| Corporate Director | Jun 6, 2025 | ||
| Personal Support Homecare LLC | 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.
-
- Home Health Agency
- Phila, PA
- NPI 1255662482
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.