Provider Demographics
NPI:1366671810
Name:MULTICARE HOME HEALTH AGENCY INC
Entity Type:Organization
Organization Name:MULTICARE HOME HEALTH AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEONID
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-457-0582
Mailing Address - Street 1:1035 W BRISTOL RD STE A
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-1009
Mailing Address - Country:US
Mailing Address - Phone:215-457-0582
Mailing Address - Fax:215-457-0589
Practice Address - Street 1:1035 W BRISTOL RD STE A
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-1009
Practice Address - Country:US
Practice Address - Phone:215-457-0582
Practice Address - Fax:215-457-0589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-06
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207QG0300X
213E00000X, 363LP2300X
PA03470501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA398123Medicare UPIN