PREFERRED GERIATRIC HEALTH CARE,LLC
NPI 1295074045
Home Health in Phila, PA

NPI Status: Active since February 13, 2013

Contact Information

272 S 56TH ST
PHILA, PA
ZIP 19139
Phone: (215) 551-5620
Fax: (215) 474-4850

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  • Organization
  • Home Health

About PREFERRED GERIATRIC HEALTH CARE,LLC

This page provides the complete NPI Profile along with additional information for Preferred Geriatric Health Care,llc, a provider established in Phila, Pennsylvania operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1295074045 assigned on February 2013. The practitioner's primary taxonomy code is 251E00000X with license number 23573601 (PA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Ms. Michelle Orisha Bourne (Ceo)

NPI
1295074045
Provider Name
PREFERRED GERIATRIC HEALTH CARE,LLC
Entity Type
Organization
Location Address
272 S 56TH ST PHILA, PA 19139
Location Phone
(215) 551-5620
Location Fax
(215) 474-4850
Mailing Address
272 S 56TH ST PHILADELPHIA, PA 19139
Mailing Phone
(215) 551-5620
Mailing Fax
(215) 474-4850
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2013
Last Update Date
10-08-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
License No.
23573601
License State
PA
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251B00000XAgencies

Case Management

23573601 (PA)
2251K00000XAgencies

Public Health or Welfare

23573601 (PA)
3251S00000XAgencies

Community/Behavioral Health

23573601 (PA)
4251V00000XAgencies

Voluntary or Charitable

23573601 (PA)
5253J00000XAgencies

Foster Care Agency

23573601 (PA)
63104A0625XNursing & Custodial Care Facilities

Assisted Living Facility
Assisted Living, Mental Illness

23573601 (PA)
7310500000XNursing & Custodial Care Facilities

Intermediate Care Facility, Mental Illness

23573601 (PA)
8311ZA0620XNursing & Custodial Care Facilities

Custodial Care Facility
Adult Care Home

23573601 (PA)
9320600000XResidential Treatment Facilities

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

23573601 (PA)
10322D00000XResidential Treatment Facilities

Residential Treatment Facility, Emotionally Disturbed Children

23573601 (PA)
113245S0500XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility
Substance Abuse Treatment, Children

23573601 (PA)
12385HR2055XRespite Care Facility

Respite Care
Respite Care, Mental Illness, Child

23573601 (PA)
13385HR2060XRespite Care Facility

Respite Care
Respite Care, Intellectual and/or Developmental Disabilities

23573601 (PA)
14385HR2065XRespite Care Facility

Respite Care
Respite Care, Physical Disabilities, Child

23573601 (PA)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. MICHELLE ORISHA BOURNE

Authorized Official Title
CEO
Authorized Official Phone
(215) 551-5620

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1295074045
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2218507808
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 0 + 7 + 8 + 0 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1295074045 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295074045, enumerated in the NPI registry as an "organization" on February 13, 2013

The provider is located at 272 S 56th St Phila, Pa 19139 and the phone number is (215) 551-5620

This medical organization specializes in Home Health with taxonomy code 251E00000X

This NPI record was last updated on February 13, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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