NPIMap

Organization Active NPI

Providence Home Care Agency Inc.

  • Adult Mental Health Clinic/Center
  • Emmaus, PA
National Provider Identifier
1891537650
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PROVIDENCE HOME CARE AGENCY INC.
Practice address
222 Main St
Emmaus, PA 18049-2749
Phone
(610) 956-6745
NPI assigned
Jun 11, 2024
Organization subpart
Yes
Parent organization
PROVIDENCE HOME CARE AGENCY INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Michael Anthony Frazer
Title
Ceo
Phone
(610) 421-8623

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

222 Main St
Emmaus, PA 18049-2749

Mailing address

222 Main St
Emmaus, PA 18049-2749
Phone (610) 956-6745

National Provider Directory

National Provider Directory
Tax ID family
Providence Home Care Agency Inc2 organizations share this tax ID, including this one
Part of
Providence Home Care Agency Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

222 Main St
Emmaus, PA 18049
Phone (484) 863-1010

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1891537650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 MAIN ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180492749",
            "telephone_number": "610-956-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MAIN ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180492749",
            "telephone_number": "610-956-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HOME CARE AGENCY INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE HOME CARE AGENCY INC.",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "FRAZER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-421-8623"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmaus, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.