Active NPI
A1 Homecare, Inc.
- PACE Provider Organization
- Chester, PA
National Provider Identifier
1770022071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- License
- 29223601
- Legal business name
- A1 HOMECARE, INC.
- Practice address
- 2701 W 10TH St
Chester, PA 19013-1936 - Phone
- (888) 552-2736
- Fax
- (610) 471-0994
- NPI assigned
- Feb 20, 2017
- 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. Anthony Kodor
- Title
- Director
- Phone
- (888) 552-2736
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | 29223601 | PA | Primary |
Addresses
Primary practice location
2701 W 10TH St
Chester, PA 19013-1936
Mailing address
2701 W 10TH St
Chester, PA 19013-1936
Phone (888) 552-2736
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103077460-0001 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- A1 Homecare Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Point of Service
- Chester, PA
- NPI 1003188400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487548800000",
"number": "1770022071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 W 10TH ST",
"city": "CHESTER",
"state": "PA",
"postal_code": "190131936",
"telephone_number": "888-552-2736",
"fax_number": "610-471-0994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 W 10TH ST",
"city": "CHESTER",
"state": "PA",
"postal_code": "190131936",
"telephone_number": "888-552-2736",
"fax_number": "610-471-0994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A1 HOMECARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-20",
"last_updated": "2017-02-20",
"status": "A",
"authorized_official_last_name": "KODOR",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "888-552-2736",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": "PA",
"license": "29223601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103077460-0001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.