Provider Demographics
NPI:1255093332
Name:GROWING HAND HOME HEALTH CARE
Entity Type:Organization
Organization Name:GROWING HAND HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANTIONETTE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SLADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-690-6391
Mailing Address - Street 1:544 E TULPEHOCKEN ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-1039
Mailing Address - Country:US
Mailing Address - Phone:267-690-6391
Mailing Address - Fax:
Practice Address - Street 1:544 E TULPEHOCKEN ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19144-1039
Practice Address - Country:US
Practice Address - Phone:267-690-6391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GROWING HAND HOME HEALTH CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty