Active NPI
Family Support Circle, Inc
- Respite Care
- Philadelphia, PA
National Provider Identifier
1720455264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- License
- 22343601
- Legal business name
- FAMILY SUPPORT CIRCLE, INC
- Practice address
- 2059 E Chelten Ave
Philadelphia, PA 19138-3043 - Phone
- (267) 335-5857
- Fax
- (267) 385-6119
- NPI assigned
- Sep 1, 2015
- 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
- Dr. Elna Poulard, PHD
- Title
- President
- Phone
- (404) 917-9765
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | 22343601 | PA | Primary |
Addresses
Primary practice location
2059 E Chelten Ave
Philadelphia, PA 19138-3043
Mailing address
2059 E Chelten Ave
Philadelphia, PA 19138-3043
Phone (267) 335-5857
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22343601 | Other | PA | HOME CARE LICENSE NUMBER |
| 1000006490002 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- Family Support Circle Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Philadelphia, PA
- NPI 1649547191
-
- Home Health Agency
- Miami, FL
- NPI 1144816448
-
- Voluntary or Charitable Agency
- McDonough, GA
- NPI 1336458991
Locations
2059 E Chelten Ave
Philadelphia, PA 19138
Phone (267) 335-5857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441065600000",
"number": "1720455264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2059 E CHELTEN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191383043",
"telephone_number": "267-335-5857",
"fax_number": "267-385-6119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2059 E CHELTEN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191383043",
"telephone_number": "267-335-5857",
"fax_number": "267-385-6119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY SUPPORT CIRCLE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-01",
"last_updated": "2015-09-01",
"status": "A",
"authorized_official_last_name": "POULARD",
"authorized_official_first_name": "ELNA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "404-917-9765",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "PA",
"license": "22343601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME CARE LICENSE NUMBER",
"identifier": "22343601",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000006490002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
- Family Practice & Counseling Services Network, Inc.
- Family Practice & Counseling Services Network, Inc.
- Family Practice & Counseling Services Network, Inc.
- Family Rite Pharmacy LLC
- Family Strengthening Associates
- Family Support Circle, Inc.
- Family Support Coordination Inc
- Family Support Home Care Inc
- Family Support Services
- Family Vision Enterprises
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.