Provider Demographics
NPI:1275926917
Name:PHIRI, TIMOTHY (CEO)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:
Last Name:PHIRI
Suffix:
Gender:M
Credentials:CEO
Other - Prefix:
Other - First Name:TIMOTHY
Other - Middle Name:
Other - Last Name:PHIRI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CEO-HOME CARE AGENCY
Mailing Address - Street 1:1574 MCDANIEL DRIVE
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380
Mailing Address - Country:US
Mailing Address - Phone:610-696-6810
Mailing Address - Fax:610-696-2491
Practice Address - Street 1:1572 MCDANIEL DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-6673
Practice Address - Country:US
Practice Address - Phone:610-696-6810
Practice Address - Fax:610-696-2491
Is Sole Proprietor?:No
Enumeration Date:2015-03-05
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No376J00000XNursing Service Related ProvidersHomemaker
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2725Medicare PIN