Organization Active NPI

Charles Homecare and Nursing Service

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1720612245
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CHARLES HOMECARE AND NURSING SERVICE
Practice address
5931 Ogontz Ave
Philadelphia, PA 19141-1357
Phone
(267) 815-4749
NPI assigned
Feb 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Authorized official

Name
Mrs. Leticia Amanda Ross, MBA
Title
Ceo
Phone
(609) 647-5936

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5931 Ogontz Ave
Philadelphia, PA 19141-1357

Mailing address

5931 Ogontz Ave
Philadelphia, PA 19141-1357

National Provider Directory

National Provider Directory

Locations

5931 Ogontz Ave
Philadelphia, PA 19141
Phone (267) 815-4749

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1720612245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5931 OGONTZ AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191411357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5931 OGONTZ AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191411357",
            "telephone_number": "267-815-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES HOMECARE AND NURSING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-647-5936",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "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 Feb 24, 2020; 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.