Organization Active NPI

Care365 Service Coordinator, Inc

  • Case Management Agency
  • Philadelphia, PA
National Provider Identifier
1831593417
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CARE365 SERVICE COORDINATOR, INC
Practice address
100 N 18TH St
300
Philadelphia, PA 19103-2707
Phone
(267) 397-3505
Fax
(919) 800-3151
NPI assigned
Oct 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Stephanie Harris
Title
Ceo/President/Agency Director
Phone
(267) 397-3505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

100 N 18TH St
300
Philadelphia, PA 19103-2707

Mailing address

100 N 18TH St
300
Philadelphia, PA 19103-2707
Phone (267) 397-3505

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1831593417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N 18TH ST",
            "address_2": "300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191032707",
            "telephone_number": "267-397-3505",
            "fax_number": "919-800-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N 18TH ST",
            "address_2": "300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191032707",
            "telephone_number": "267-397-3505",
            "fax_number": "919-800-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE365 SERVICE COORDINATOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CEO/PRESIDENT/AGENCY DIRECTOR",
        "authorized_official_telephone_number": "267-397-3505"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "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 Nov 21, 2014; 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.