Provider Demographics
NPI:1477135507
Name:REWARD HOME CARE, LLC
Entity Type:Organization
Organization Name:REWARD HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEON
Authorized Official - Middle Name:V
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-294-8031
Mailing Address - Street 1:215 MORTON AVE APT E
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:PA
Mailing Address - Zip Code:19033-3026
Mailing Address - Country:US
Mailing Address - Phone:267-294-8031
Mailing Address - Fax:
Practice Address - Street 1:215 MORTON AVE APT E
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:PA
Practice Address - Zip Code:19033-3026
Practice Address - Country:US
Practice Address - Phone:267-294-8031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-27
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA54233601OtherHOME CARE AGENCY/HOME CARE REGISTRY FACILITY