Provider Demographics
NPI:1326310103
Name:ALMOST LIKE HOME,INC
Entity Type:Organization
Organization Name:ALMOST LIKE HOME,INC
Other - Org Name:ALMOST LIKE HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-385-5931
Mailing Address - Street 1:129 E GORGAS LN
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-2151
Mailing Address - Country:US
Mailing Address - Phone:267-385-5931
Mailing Address - Fax:267-323-2143
Practice Address - Street 1:129 E GORGAS LN
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-2151
Practice Address - Country:US
Practice Address - Phone:267-385-5931
Practice Address - Fax:267-323-2143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA228340013140N1450X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1026172810001Medicaid
PA22834001OtherPA. STATE LICENSE NUMBER