Provider Demographics
NPI:1396231973
Name:ANN'S PROFESSIONAL HOME CARE, LLC.
Entity Type:Organization
Organization Name:ANN'S PROFESSIONAL HOME CARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-839-8303
Mailing Address - Street 1:536 BURMONT RD FL 1
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-3723
Mailing Address - Country:US
Mailing Address - Phone:610-839-8303
Mailing Address - Fax:
Practice Address - Street 1:536 BURMONT RD FL 1
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-3723
Practice Address - Country:US
Practice Address - Phone:610-839-8303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-06
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA36663601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health