Organization Active NPI

Tri-County Home Support Services LLC

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1801918263
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TRI-COUNTY HOME SUPPORT SERVICES LLC
Practice address
325 Chestnut St Ste 800
Philadelphia, PA 19106-2608
Phone
(215) 618-2390
Fax
(215) 618-2390
NPI assigned
Apr 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Leigh Catherine Miltimore
Title
Regional Administrator
Phone
(215) 618-2390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

325 Chestnut St Ste 800
Philadelphia, PA 19106-2608

Mailing address

325 Chestnut St Ste 800
Philadelphia, PA 19106-2608
Phone (215) 618-2390

Other identifiers 1

IdentifierTypeStateIssuer
101128004MedicaidPA

National Provider Directory

National Provider Directory

Locations

217 Main St
Ridgway, PA 15853

NPI Registry JSON

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1801918263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CHESTNUT ST STE 800",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191062608",
            "telephone_number": "215-618-2390",
            "fax_number": "215-618-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CHESTNUT ST STE 800",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191062608",
            "telephone_number": "215-618-2390",
            "fax_number": "215-618-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY HOME SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "MILTIMORE",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "REGIONAL ADMINISTRATOR",
        "authorized_official_telephone_number": "215-618-2390"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101128004",
            "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 Oct 28, 2024; 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.