Provider Demographics
NPI:1073388161
Name:HOMESTYLE HOMECARE
Entity Type:Organization
Organization Name:HOMESTYLE HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:YAA
Authorized Official - Middle Name:POKUA
Authorized Official - Last Name:KUMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-310-7998
Mailing Address - Street 1:4 PEDDLERS ROW # 90
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-1525
Mailing Address - Country:US
Mailing Address - Phone:302-310-7998
Mailing Address - Fax:
Practice Address - Street 1:4 PEDDLERS ROW # 90
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-1525
Practice Address - Country:US
Practice Address - Phone:302-310-7998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health