Fathership Foundation

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FATHERSHIP FOUNDATION

Practice address

6504 Elmwood Ave
Philadelphia, PA 19142-2817

Phone

(267) 232-8383

NPI assigned

Dec 22, 2020

Last updated

Dec 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Wilson Jr., DR.NPI 1992392187

Title

Executive Director

Phone

(267) 232-8383

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Rashied Wilson Jr., ED.D.

  • Case Manager/Care Coordinator
  • Philadelphia, PA
  • NPI 1992392187
  NPD Authorized official

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1811584022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6504 ELMWOOD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191422817",
            "telephone_number": "267-232-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6504 ELMWOOD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191422817",
            "telephone_number": "267-232-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATHERSHIP FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "267-232-8383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zhanna Fast, MD
• Judd Harris Fastenberg, M.D.
• Fastvax LLC (Fastvax Pharmacy and Vaccine Center)
• Umma Kaniz Fatema
• Daniel Fatemi, DO
• Ramie A Fathy, MD
• Noor Fatima, MD
• Unsa Fatima, PA
• Christiana Fatiregun, R.PH.
• Monica Fauble, L.AC.

• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, 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 Dec 22, 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.