CC HEALTH CARE AGENCY INC.
NPI 1396301149
Home Health in Philadelphia, PA

Active since May 17, 2019CLIA 39D2283680 · Waiver
1102 W SOMERVILLE AVE, PHILADELPHIA, PA 19141(267) 304-6775 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cc Health Care Agency Inc. NPPES

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

CC HEALTH CARE AGENCY INC. (NPI 1396301149) is a healthcare organization registered as a home health in Philadelphia, Pennsylvania and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through June 11, 2027 and lists Medith Charles, Owner / President, as its authorized official.

NPPES Registry Identity

NPI1396301149
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameCC HEALTH CARE AGENCY INC.
Location Address1102 W SOMERVILLE AVEPhiladelphia, PA 19141-2904
Mailing Address1102 W Somerville AvePhiladelphia, PA 19141-2904 · (267) 304-6775
Organization SubpartNo
Authorized OfficialMedith CharlesOwner / President · (267) 304-6775
Enumeration DateMay 17, 2019
Last NPPES UpdateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
NPI 1396301149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition

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.

1102 W SOMERVILLE AVE, Philadelphia, PA 19141

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2283680

Cc Health Care Agency Inc · Philadelphia, PA
Active · expires Jun 11, 2027
CLIA Number39D2283680
Laboratory TypeHome Health Agency
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorScarmienth Codio
Laboratory Phone(267) 304-6775
Laboratory LocationCc Health Care Agency Inc6302 Rising Sun Ave, Philadelphia, PA 19111
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

In Home Supportive Care
1102 W SOMERVILLE AVE
PHILADELPHIA, PA 19141
Home Health
1102 W SOMERVILLE AVE
PHILADELPHIA, PA 19141
Licensed Practical Nurse
1102 W SOMERVILLE AVE
PHILADELPHIA, PA 19141

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 Cc Health Care Agency Inc.'s NPI number?

The NPI number for Cc Health Care Agency Inc. is 1396301149. It was assigned to this organization in the NPPES registry on May 17, 2019.

Where is Cc Health Care Agency Inc. located?

Cc Health Care Agency Inc. is located at 1102 W Somerville Ave, Philadelphia, PA 19141. The listed phone number is (267) 304-6775.

What is Cc Health Care Agency Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Cc Health Care Agency Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2283680) is associated with this NPI, valid through June 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cc Health Care Agency Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Cc Health Care Agency Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cc Health Care Agency Inc. was last updated on February 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.