Organization Active NPI

Countrywide Home Care Inc

  • Home Health Agency
  • Cheltenham, PA
National Provider Identifier
1780039610
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COUNTRYWIDE HOME CARE INC
Practice address
500 Central Ave
Cheltenham, PA 19012-2106
Phone
(267) 534-7774
Fax
(215) 893-4394
NPI assigned
Apr 28, 2016
Last updated
Mar 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Dmitry David
Title
Ceo
Phone
(267) 534-7774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

500 Central Ave
Cheltenham, PA 19012-2106

Mailing address

500 Central Ave
Cheltenham, PA 19012-2106
Phone (267) 534-7774

National Provider Directory

National Provider Directory

Locations

500 Central Ave
Cheltenham, PA 19012
Phone (267) 534-7774

808 N Broad St
Fl 2
Philadelphia, PA 19130

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1780039610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CENTRAL AVE",
            "city": "CHELTENHAM",
            "state": "PA",
            "postal_code": "190122106",
            "telephone_number": "267-534-7774",
            "fax_number": "215-893-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CENTRAL AVE",
            "city": "CHELTENHAM",
            "state": "PA",
            "postal_code": "190122106",
            "telephone_number": "267-534-7774",
            "fax_number": "215-893-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRYWIDE HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2025-03-10",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-534-7774"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheltenham, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.