Provider Demographics
NPI:1477103679
Name:HOMECARE ANGELS & MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:HOMECARE ANGELS & MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:JUMA
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECTOR
Authorized Official - Phone:610-419-3198
Mailing Address - Street 1:708 LINDEN ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-4260
Mailing Address - Country:US
Mailing Address - Phone:610-419-3198
Mailing Address - Fax:610-419-0512
Practice Address - Street 1:708 LINDEN ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-4260
Practice Address - Country:US
Practice Address - Phone:610-419-3198
Practice Address - Fax:610-419-0512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-19
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty