Provider Demographics
NPI:1003161720
Name:QUEST COMMUNITY HOME HEALTH LLC
Entity Type:Organization
Organization Name:QUEST COMMUNITY HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON
Authorized Official - Prefix:
Authorized Official - First Name:MOHMED
Authorized Official - Middle Name:DEEN
Authorized Official - Last Name:YANSANE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:267-688-3228
Mailing Address - Street 1:747 N 63RD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19151-3804
Mailing Address - Country:US
Mailing Address - Phone:267-688-3228
Mailing Address - Fax:484-469-4694
Practice Address - Street 1:747 N 63RD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19151-3804
Practice Address - Country:US
Practice Address - Phone:267-688-3228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health