Healthcare Stat Home Care,Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

YO000173L Issued in PA

Legal business name

HEALTHCARE STAT HOME CARE,INC.

Practice address

9539 Bustleton Ave
Philadelphia, PA 19115-3801

Phone

(215) 676-2700

Fax

(215) 676-2734

NPI assigned

Jul 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Manilal Mathai, RRT

Title

President/Ceo

Phone

(215) 676-2700

Specialties & licenses 1

Addresses

Other names 1

• HCSHC Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Home health agency certification: CCN 398084

Legal name

HEALTHCARE STAT HOME CARE,INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 4, 2008

Last certification

Sep 23, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 18, 2007 in PA

Enrollment address

9539 Bustleton Ave
Philadelphia, PA 19115-3847

Listed as

Healthcare Stat Home Care (HCSH)CCN 398084

Ownership

Proprietary

Certified

Sep 4, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1861691800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9537 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153801",
            "telephone_number": "215-676-2700",
            "fax_number": "215-676-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9539 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153801",
            "telephone_number": "215-676-2700",
            "fax_number": "215-676-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE STAT HOME CARE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "MATHAI",
        "authorized_official_first_name": "MANILAL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "215-676-2700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "YO000173L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HCSHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.