Provider Demographics
NPI:1275254088
Name:PHILADELPHIA HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:PHILADELPHIA HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CFO
Authorized Official - Prefix:
Authorized Official - First Name:MAZEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TAMIMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-201-6078
Mailing Address - Street 1:112 N CLYDE AVE
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-5422
Mailing Address - Country:US
Mailing Address - Phone:407-201-6078
Mailing Address - Fax:407-201-4979
Practice Address - Street 1:112 N CLYDE AVE
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-5422
Practice Address - Country:US
Practice Address - Phone:407-201-6078
Practice Address - Fax:407-201-4979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health