Provider Demographics
NPI:1437297116
Name:CO-MHAR INC.
Entity Type:Organization
Organization Name:CO-MHAR INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MATHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:ELAVUMKAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-203-3000
Mailing Address - Street 1:100 W LEHIGH AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19133-4097
Mailing Address - Country:US
Mailing Address - Phone:215-203-3000
Mailing Address - Fax:215-203-3089
Practice Address - Street 1:2824 COTTMAN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-1400
Practice Address - Country:US
Practice Address - Phone:215-543-9020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1017568OtherANCILLARY CARE MANAGEMENT
PA52886OtherAETNA US HEALTHCARE
PA9828OtherELDER HEALTH
PA20330OtherHEALTH PARTNERS
PA1000004060096Medicaid
PA01573798-02OtherAMERICHOICE
PA9828OtherELDER HEALTH