Provider Demographics
NPI:1073085502
Name:REAL CARE ASSISTANCE
Entity Type:Organization
Organization Name:REAL CARE ASSISTANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ATEYA
Authorized Official - Middle Name:
Authorized Official - Last Name:AVERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-688-3892
Mailing Address - Street 1:PO BOX 774
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19404
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:484-461-4844
Practice Address - Street 1:509 NOBLE ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401
Practice Address - Country:US
Practice Address - Phone:484-688-3892
Practice Address - Fax:484-461-4844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-21
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty