NPIMap

Organization Active NPI

Project Home

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
National Provider Identifier
1790116788
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PROJECT HOME
Practice address
5201 Old York Rd
Ste 108
Philadelphia, PA 19141-2987
Phone
(215) 390-1500
NPI assigned
Dec 2, 2013
Last updated
Feb 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Authorized official

Name
Kevin Paul Noel
Title
Cfo/Evp
Phone
(215) 309-5286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

5201 Old York Rd
Ste 108
Philadelphia, PA 19141-2987

Mailing address

1415 Fairmount Ave
Suite 241
Philadelphia, PA 19130-2962
Phone (215) 232-7229

Other names 1

  • Pathways to Housing FQHC site Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150831001645 PA Part A Provider - Federally Qualified Health Center (FQHC) 5799930822 Practice locations: Philadelphia, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790116788. Details of each certification follow.

Federally qualified health center certification: CCN 391055

Legal name
PROJECT HOME
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 17, 2015
Last certification
Aug 17, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 6, 1989 in PA
Enrollment address
5201 Old York Rd 108
Philadelphia, PA 19141-2987

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Project Home5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5201 Old York Rd
Fl 4
Philadelphia, PA 19141
Phone (215) 390-1500

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joan Dawson-McConnon Individual W-2 Managing EmployeeChief Financial Officer Jun 6, 1989 100%
Operational/Managerial ControlChief Financial Officer Jun 6, 1989 100%
Mary Scullion Individual Corporate DirectorExecutive Director Jun 6, 1989 100%
W-2 Managing EmployeeExecutive Director Jun 6, 1989 100%
Kevin P Noel Individual Corporate OfficerSVP of Acct, Finance, and Admin Nov 6, 2020
W-2 Managing EmployeeSVP of Acct, Finance, and Admin Nov 6, 2020
Operational/Managerial ControlSVP of Acct, Finance, and Admin Nov 6, 2020
Charo Rogers Individual Corporate DirectorDirector of Operations May 6, 2022
W-2 Managing EmployeeDirector of Operations Mar 8, 2022
William Kurtycz Individual Corporate OfficerVP of Healthcare Services Apr 25, 2023

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1790116788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 FAIRMOUNT AVE",
            "address_2": "SUITE 241",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191302962",
            "telephone_number": "215-232-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 OLD YORK RD",
            "address_2": "STE 108",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191412987",
            "telephone_number": "215-390-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CFO/EVP",
        "authorized_official_telephone_number": "215-309-5286"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathways to Housing FQHC site",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Pathways to Housing FQHC site",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.