Active NPI
Boom Care LLC
- Home Health Agency
- Philadelphia, PA
National Provider Identifier
1801498100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BOOM CARE LLC
- Doing business as
- BOOM CARE LLC
- Practice address
- 30 S 17TH St FL 13
Philadelphia, PA 19103-4001 - Phone
- (347) 528-0890
- NPI assigned
- Nov 11, 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. M Jacobowitz
- Title
- Pres
- Phone
- (347) 528-0890
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
30 S 17TH St FL 13
Philadelphia, PA 19103-4001
Mailing address
30 S 17TH St FL 13
Philadelphia, PA 19103-4001
Phone (347) 528-0890
Other names 1
- BOOM CARE LLC
National Provider Directory
National Provider DirectoryLocations
30 S 17th St
Fl 13
Philadelphia, PA 19103
Phone (347) 528-0890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605052800000",
"number": "1801498100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 S 17TH ST FL 13",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191034001",
"telephone_number": "347-528-0890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 S 17TH ST FL 13",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191034001",
"telephone_number": "347-528-0890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOOM CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-11",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A",
"authorized_official_last_name": "JACOBOWITZ",
"authorized_official_first_name": "M",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "347-528-0890",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BOOM CARE LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 11, 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.