Provider Demographics
NPI:1376088781
Name:PHILADELPHIA HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:PHILADELPHIA HOME HEALTH SERVICES, LLC
Other - Org Name:AMERICAN HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:KOLARIK
Authorized Official - Last Name:SCHAUM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:215-886-6885
Mailing Address - Street 1:261 OLD YORK RD STE 604A
Mailing Address - Street 2:
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-3718
Mailing Address - Country:US
Mailing Address - Phone:215-886-6885
Mailing Address - Fax:215-886-0921
Practice Address - Street 1:261 OLD YORK RD STE 604A
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-3718
Practice Address - Country:US
Practice Address - Phone:215-886-6885
Practice Address - Fax:215-886-0921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-21
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health