Inner Circle Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

INNER CIRCLE HOME CARE, LLC

Practice address

75 E Maiden St Ste 200
Washington, PA 15301-4963

Phone

(814) 759-4362

Fax

(888) 418-7715

NPI assigned

Jul 16, 2018

Organization subpart

No

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

Authorized official

Name

Jill Corey

Title

Coo

Phone

(814) 866-2919

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1811473671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 W 10TH ST STE 300",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 E MAIDEN ST STE 200",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014963",
            "telephone_number": "814-759-4362",
            "fax_number": "888-418-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER CIRCLE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "COREY",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "814-866-2919"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032544930001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Washington, PA
• Providers in Washington, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.