Organization Active NPI

Homestead Cognitive Services LLC

  • Community/Behavioral Health Agency
  • King of Prussia, PA
National Provider Identifier
1760204309
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HOMESTEAD COGNITIVE SERVICES LLC
Practice address
314 S Henderson Rd Unit G-103
King of Prussia, PA 19406-2449
Phone
(215) 206-3562
NPI assigned
Oct 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Mr. Jordan BreslowNPI 1376365965
Title
Administrator
Phone
(267) 281-5007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

314 S Henderson Rd Unit G-103
King of Prussia, PA 19406-2449

Mailing address

PO Box 20
Horsham, PA 19044-0020

National Provider Directory

National Provider Directory

Locations

314 S Henderson Rd
Unit G103
King of Prussia, PA 19406
Phone (215) 206-3562

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1760204309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190440020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S HENDERSON RD UNIT G-103",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062449",
            "telephone_number": "215-206-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD COGNITIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "BRESLOW",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "267-281-5007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.