Provider Demographics
NPI:1083378913
Name:PATIENT FIRST HOME
Entity Type:Organization
Organization Name:PATIENT FIRST HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ADEBISI
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEDOYIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:267-247-2007
Mailing Address - Street 1:2813 MAXWELL ST
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19136-1018
Mailing Address - Country:US
Mailing Address - Phone:267-247-2007
Mailing Address - Fax:
Practice Address - Street 1:2813 MAXWELL ST
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19136-1018
Practice Address - Country:US
Practice Address - Phone:267-247-2007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health