NPIMap

Organization Active NPI

Family Wise LLC

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1801371570
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FAMILY WISE LLC
Practice address
7516 City Ave Ste a
Philadelphia, PA 19151-2102
Phone
(215) 352-4661
Fax
(267) 519-3186
NPI assigned
Sep 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Authorized official

Name
Paulette Isaac
Title
Owner/Member
Phone
(215) 352-4661

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

7516 City Ave Ste a
Philadelphia, PA 19151-2102

Mailing address

3422 W Commissioner St
Philadelphia, PA 19132-1828
Phone (302) 365-6329

Other practice location 1

3422 W Commissioner St
Philadelphia, PA 19132-1828
Phone (215) 352-4661

Other identifiers 2

IdentifierTypeStateIssuer
1029391690001MedicaidPA
102939169001MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Family Wise Home LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

7516 City Ave
Ste A
Philadelphia, PA 19151
Phone (215) 352-4661

NPI Registry JSON

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538092800000",
    "number": "1801371570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3422 W COMMISSIONER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191321828",
            "telephone_number": "302-365-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7516 CITY AVE STE A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512102",
            "telephone_number": "215-352-4661",
            "fax_number": "267-519-3186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3422 W Commissioner St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191321828",
            "country_code": "US",
            "telephone_number": "215-352-4661",
            "fax_number": "267-519-3186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY WISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A",
        "authorized_official_last_name": "ISAAC",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "215-352-4661"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029391690001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102939169001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.