Active NPI
Forever Yours Home Care Staffing Agency LLC
- In Home Supportive Care Agency
- Williamsport, PA
National Provider Identifier
1790395325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.