NPIMap

Organization Active NPI

Immediate Homecare & Hospice

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1982095568
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
765005 Issued in PA
Legal business name
IMMEDIATE HOMECARE & HOSPICE
Practice address
3901 Market St Ste 4B
Philadelphia, PA 19104-3133
Phone
(215) 638-2223
NPI assigned
Feb 18, 2015
Last updated
Jul 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Mari Willis
Title
Authorized Official
Phone
(216) 970-1189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 765005 PA Primary

Addresses

Primary practice location

3901 Market St Ste 4B
Philadelphia, PA 19104-3133

Mailing address

3901 Market St Ste 4B
Philadelphia, PA 19104-3133
Phone (215) 638-2223

National Provider Directory

National Provider Directory
Tax ID family
Immediate Homecare Hospice3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1982095568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 MARKET ST STE 4B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043133",
            "telephone_number": "215-638-2223",
            "fax_number": "215-638-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MARKET ST STE 4B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043133",
            "telephone_number": "215-638-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMEDIATE HOMECARE & HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "MARI",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "216-970-1189"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "765005",
            "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 Jul 10, 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.