Organization Active NPI

Boom Care LLC

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1801498100
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Nov 11, 2020

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.