Provider Demographics
NPI:1356097935
Name:HOMECARE PODIATRY LLC
Entity Type:Organization
Organization Name:HOMECARE PODIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRUMENTO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:302-442-5212
Mailing Address - Street 1:2207 CONCORD PIKE # 401
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-2908
Mailing Address - Country:US
Mailing Address - Phone:302-442-5212
Mailing Address - Fax:
Practice Address - Street 1:2207 CONCORD PIKE # 401
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-2908
Practice Address - Country:US
Practice Address - Phone:302-442-5212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty