Boom Care LLC (NPI# 1801498100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1801498100 |
| Entity Type | Organization |
| Organization Name | BOOM CARE LLC |
| Practice Address |
30 S 17th St Fl 13 Philadelphia PA 19103-4001 |
| Practice Telephone | 3475280890 |
| Mailing Address |
30 S 17th St Fl 13 Philadelphia PA 19103-4001 |
| Mailing Telephone | 3475280890 |
| Authorized Official Name | Mr. M Jacobowitz (PRES) |
| Authorized Official Telephone | 3475280890 |
| Organization Subpart | No, this organization is not a Subpart |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2020-11-11 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| BOOM CARE LLC | Doing Business As Name - Organization |
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952907172 | Assuring Hands Home Care Agency LLC | Home Health | 6609 Marley Street, Philadelphia, PA 19142 | 2020-12-11 |
| 1891390902 | Supportive Care Resources | Home Health | 4843 N Lawrence St, Philadelphia, PA 19120-4126 | 2020-12-04 |
| 1760087076 | Mission First Homecare LLC | Home Health | 6541 Tulip St, Philadelphia, PA 19135-2823 | 2020-12-03 |
| 1083219398 | Essential Home Care Agency LLC | Home Health | 714 W Fisher Ave, Philadelphia, PA 19120-2726 | 2020-12-03 |
| 1134724388 | Sadie Care & Staffing LLC | Home Health | 6136 Callowhill St, Philadelphia, PA 19151-4318 | 2020-12-03 |
| 1184228629 | Home Health Care One Agency, LLC. | Home Health | 6711 Germantown Ave, Philadelphia, PA 19119-2200 | 2020-11-25 |
| 1538762687 | Supplemental Home Healthcare, LLC | Home Health | 7356 Frankford Ave # 2ndf, Philadelphia, PA 19136-3829 | 2020-11-20 |
| 1093318883 | Damaris Enid Rodriguez | Home Health | 6002 Cottage St, Philadelphia, PA 19135-3617 | 2020-11-16 |
| 1962004721 | Mecca Care LLC | Home Health | 5025 Germantown Ave, Philadelphia, PA 19144-5963 | 2020-11-16 |
| 1548862311 | August Homecare Agency LLC | Home Health | 2201 Bryn Mawr Ave Apt 207, Philadelphia, PA 19131-2104 | 2020-11-16 |
| Find all providers in PHILADELPHIA | ||||
| Street Address |
30 S 17TH ST FL 13 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19103-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565431 | Allyson Caputa | Behavior Technician | 100 North 18th Street, Suite 300, Philadelphia, PA 19103 | 2020-10-13 |
| 1063062685 | Sarah Seeling | Social Worker | 255 South 17th Street Suite 1010, Suite 1500, Suite 23, Philadelphia, PA 19103 | 2019-09-16 |
| 1730735051 | Jill Verofsky | Counselor | 1180 Jfk Blvd, Suite 1110, Philadelphia, PA 19103 | 2019-08-13 |
| 1932761863 | Barclay Prescription Pharmacy | Pharmacist | 1736 Spruce St, Phila, PA 19103 | 2019-07-01 |
| 1265910459 | Whitney Sue Fricke | Counselor | 2211 Locust St, Philadelphia, PA 19103 | 2018-07-31 |
| 1740784586 | Sara Elizabeth Macintyre | Speech-Language Pathologist | 1845 Walnut Street Suite 1540, Philadelphia, PA 19103 | 2018-03-19 |
| 1326578907 | Danielle D Bercovitch | Speech-Language Pathologist | 1930 S Broad, Philadelphia, PA 19103 | 2017-06-15 |
| 1598114449 | Brooke Elaine Mullen | Dietitian, Registered | 1708 Pine St Apt 1r, Philadelphia, PA 19103 | 2016-06-10 |
| 1972966026 | Alexandra Brady Jatzke | Dietitian, Registered | 1835 Market St Fl 2, Philadelphia, PA 19103 | 2016-04-05 |
| 1932574118 | David Clements Iv | Psychiatry & Neurology | 1845 Walnut St Ste 1540, Philadelphia, PA 19103 | 2015-12-14 |
| Find all providers in zip 19103 | ||||
| City | PHILADELPHIA |
| Zip Code | 19103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.