Organization Active NPI

Hennetam Home Care, LLC

  • Home Health Agency
  • Feasterville Trevose, PA
National Provider Identifier
1972344265
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HENNETAM HOME CARE, LLC
Practice address
1000 Northbrook Dr Ste 502
Feasterville Trevose, PA 19053-8430
Phone
(267) 398-1693
NPI assigned
Jun 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Ma-Tenneh Sampson
Title
President
Phone
(267) 398-1693

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

1000 Northbrook Dr Ste 502
Feasterville Trevose, PA 19053-8430

Mailing address

1000 Northbrook Dr Ste 502
Feasterville Trevose, PA 19053-8430
Phone (267) 398-1693

National Provider Directory

National Provider Directory

Locations

1000 Northbrook Dr
Trevose, PA 19053
Phone (267) 563-8795

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1972344265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NORTHBROOK DR STE 502",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190538430",
            "telephone_number": "267-398-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NORTHBROOK DR STE 502",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190538430",
            "telephone_number": "267-398-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENNETAM HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "MA-TENNEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-398-1693"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Feasterville Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.