Provider Demographics
NPI:1417737271
Name:IN GOOD FAITH COMMUNITY HOME HEALTH CARE LIMITED
Entity Type:Organization
Organization Name:IN GOOD FAITH COMMUNITY HOME HEALTH CARE LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:BRUNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-251-0828
Mailing Address - Street 1:6101 LIMEKILN PIKE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-1423
Mailing Address - Country:US
Mailing Address - Phone:267-251-0828
Mailing Address - Fax:215-814-8995
Practice Address - Street 1:6101 LIMEKILN PIKE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-1423
Practice Address - Country:US
Practice Address - Phone:267-251-0828
Practice Address - Fax:215-814-8995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty