Active NPI
Our Heart Home Care
- Home Health Agency
- Philadelphia, PA
National Provider Identifier
1760836456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 30103601
- Legal business name
- OUR HEART HOME CARE
- Practice address
- 2250 Ridge Ave
Philadelphia, PA 19121-2930 - Phone
- (215) 309-3885
- NPI assigned
- Apr 19, 2016
- 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
- Mr. Surinderpal Singh Gill
- Title
- President
- Phone
- (215) 309-3885
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 30103601 | PA | Primary |
Addresses
Primary practice location
2250 Ridge Ave
Philadelphia, PA 19121-2930
Mailing address
62 Cedar Hill LN
Media, PA 19063-6311
Phone (215) 309-3885
National Provider Directory
National Provider DirectoryLocations
301 N 63rd St
Philadelphia, PA 19139
2250 Ridge Ave
Philadelphia, PA 19121
Phone (215) 309-3885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622678400000",
"number": "1760836456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 CEDAR HILL LN",
"city": "MEDIA",
"state": "PA",
"postal_code": "190636311",
"telephone_number": "215-309-3885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 RIDGE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191212930",
"telephone_number": "215-309-3885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUR HEART HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-19",
"last_updated": "2021-06-03",
"certification_date": "2021-06-01",
"status": "A",
"authorized_official_last_name": "GILL",
"authorized_official_first_name": "SURINDERPAL",
"authorized_official_middle_name": "SINGH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-309-3885",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "30103601",
"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 Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.