Provider Demographics
NPI:1437586328
Name:BIRCH INTERNATIONAL MARKETING, FINANCIAL & CREDIT CONSULTANT
Entity Type:Organization
Organization Name:BIRCH INTERNATIONAL MARKETING, FINANCIAL & CREDIT CONSULTANT
Other - Org Name:COMFORT PROVIDER AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ELPHINSTONE
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:BIRCH
Authorized Official - Suffix:
Authorized Official - Credentials:BSC
Authorized Official - Phone:267-701-7833
Mailing Address - Street 1:6581 BELMAR ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19142-1316
Mailing Address - Country:US
Mailing Address - Phone:267-701-7833
Mailing Address - Fax:
Practice Address - Street 1:6581 BELMAR ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19142-1316
Practice Address - Country:US
Practice Address - Phone:267-701-7833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BIRCH INTERNATIONAL MARKETING FINANCIAL & CREDIT CONSULTANT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-10-09
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251B00000X, 251E00000X, 251J00000X, 251S00000X, 252Y00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency
No253Z00000XAgenciesIn Home Supportive Care