Provider Demographics
NPI:1437927696
Name:RITE AIDES HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:RITE AIDES HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DERRELL
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-721-8482
Mailing Address - Street 1:2610 W 3RD ST STE 1
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-2312
Mailing Address - Country:US
Mailing Address - Phone:610-721-8482
Mailing Address - Fax:
Practice Address - Street 1:2610 W 3RD ST STE 1
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-2312
Practice Address - Country:US
Practice Address - Phone:610-721-8482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care