PERSONAL CARE HOME C&G, INC
NPI 1003356452
Clinic/Center - Primary Care in Philadelphia, PA

Active since March 05, 2017
4104 N 5TH ST, PHILADELPHIA, PA 19140(215) 223-0200 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2022, Mar 4, 2021, Oct 2, 2020 and 1 more (4 updates tracked since 2017).

About Personal Care Home C&g, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERSONAL CARE HOME C&G, INC (NPI 1003356452) is a healthcare organization registered as a primary care in Philadelphia, Pennsylvania and active in the NPI registry since March 2017. The organization maintains 2 additional practice locations and lists Samuel Quartey, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1003356452
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePERSONAL CARE HOME C&G, INC
Location Address4104 N 5TH STPhiladelphia, PA 19140-2614
Mailing Address6176 Newtown AvePhiladelphia, PA 19111-5928 · (267) 978-3040
Organization SubpartNo
Authorized OfficialSamuel QuarteyMedical Director · (215) 471-1407
Enumeration DateMarch 5, 2017
Last NPPES UpdateMarch 3, 20224 updates tracked since enumeration
NPPES CertifiedMarch 3, 2022
NPI 1003356452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X
4104 N 5TH ST, Philadelphia, PA 19140

Secondary Practice Locations 2

Location 16176 Newtown AvePhiladelphia, PA 19111-5928 · Phone (267) 978-3040
Location 25201 Wynnefield AvePhiladelphia, PA 19131-2456 · Phone (267) 978-3040

Other Identifiers 1

Medicaid1038419160001PA

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
4104 N 5TH ST
PHILADELPHIA, PA 19140
Dentist (General Practice)
4104 N 5TH ST
PHILADELPHIA, PA 19140
Family Medicine (Adult Medicine)
4104 N 5TH ST
PHILADELPHIA, PA 19140
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
4104 N 5TH ST
PHILADELPHIA, PA 19140

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Personal Care Home C&g, Inc's NPI number?

The NPI number for Personal Care Home C&g, Inc is 1003356452. It was assigned to this organization in the NPPES registry on March 5, 2017.

Where is Personal Care Home C&g, Inc located?

Personal Care Home C&g, Inc is located at 4104 N 5th St, Philadelphia, PA 19140. The listed phone number is (215) 223-0200.

What is Personal Care Home C&g, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Personal Care Home C&g, Inc was last updated on March 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.