Provider Demographics
NPI:1457483166
Name:TOTAL HEALTH HOME CARE CORP
Entity Type:Organization
Organization Name:TOTAL HEALTH HOME CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:CALLAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-853-1402
Mailing Address - Street 1:2710 W TOWNSHIP LINE RD
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-5214
Mailing Address - Country:US
Mailing Address - Phone:610-853-1402
Mailing Address - Fax:610-446-1701
Practice Address - Street 1:2710 W TOWNSHIP LINE RD
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-5214
Practice Address - Country:US
Practice Address - Phone:610-853-1402
Practice Address - Fax:610-446-1701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1006809560004Medicaid
PA1006809560005Medicaid