Provider Demographics
NPI:1376076661
Name:COMPETENT HEARTS HOME CARE AGENCY LLC
Entity Type:Organization
Organization Name:COMPETENT HEARTS HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAMILE
Authorized Official - Middle Name:ANEFIA
Authorized Official - Last Name:COUVERTIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-614-7014
Mailing Address - Street 1:4907 N 9TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-3925
Mailing Address - Country:US
Mailing Address - Phone:267-276-5925
Mailing Address - Fax:
Practice Address - Street 1:4907 N 9TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-3925
Practice Address - Country:US
Practice Address - Phone:267-276-5925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-04
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA32523601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care