Organization Active NPI

Forever Yours Home Care Staffing Agency LLC

  • In Home Supportive Care Agency
  • Williamsport, PA
National Provider Identifier
1790395325
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FOREVER YOURS HOME CARE STAFFING AGENCY LLC
Practice address
1419 Scott St
Williamsport, PA 17701-4432
Phone
(157) 047-8433
NPI assigned
Aug 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Authorized official

Name
Mr. Harry Eugene Jones III
Title
Member
Phone
(570) 433-1384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1419 Scott St
Williamsport, PA 17701-4432

Mailing address

1419 Scott St
Williamsport, PA 17701-4432
Phone (570) 433-1384

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1790395325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 SCOTT ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177014432",
            "telephone_number": "570-433-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 SCOTT ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177014432",
            "telephone_number": "157-047-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER YOURS HOME CARE STAFFING AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "570-433-1384",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.