Provider Demographics
NPI:1356083521
Name:READING HOME AND COMMUNITY SUPPORTIVE SERVICES LLC
Entity Type:Organization
Organization Name:READING HOME AND COMMUNITY SUPPORTIVE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:ALIKALIE
Authorized Official - Last Name:SILLAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-315-9997
Mailing Address - Street 1:712 MARIA AVE
Mailing Address - Street 2:
Mailing Address - City:SINKING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-8947
Mailing Address - Country:US
Mailing Address - Phone:610-743-3537
Mailing Address - Fax:
Practice Address - Street 1:712 MARIA AVE
Practice Address - Street 2:
Practice Address - City:SINKING SPRING
Practice Address - State:PA
Practice Address - Zip Code:19608-8947
Practice Address - Country:US
Practice Address - Phone:610-743-3537
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty