Organization Active NPI

Nobility First Primary Care LLC

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1801558465
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NOBILITY FIRST PRIMARY CARE LLC
Practice address
2508 W Huntingdon St
Philadelphia, PA 19132-3633
Phone
(267) 401-4474
NPI assigned
Oct 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Shannon Fogle
Title
President
Phone
(267) 401-4474

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2508 W Huntingdon St
Philadelphia, PA 19132-3633

Mailing address

2508 W Huntingdon St
Philadelphia, PA 19132-3633
Phone (267) 401-4474

National Provider Directory

National Provider Directory
Tax ID family
Nobility First Primary Care 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.

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1801558465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 W HUNTINGDON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191323633",
            "telephone_number": "267-401-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 W HUNTINGDON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191323633",
            "telephone_number": "267-401-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBILITY FIRST PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "FOGLE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-401-4474"
    },
    "taxonomies": [
        {
            "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
        }
    ],
    "identifiers": [],
    "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 Oct 12, 2021; 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.