Provider Demographics
NPI:1497140180
Name:TOTAL HEALTH HOME CARE CORPORATION
Entity Type:Organization
Organization Name:TOTAL HEALTH HOME CARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/DIR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:NESCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-853-1402
Mailing Address - Street 1:PO BOX 930
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-0930
Mailing Address - Country:US
Mailing Address - Phone:610-853-1402
Mailing Address - Fax:610-446-1701
Practice Address - Street 1:2710 WEST TOWNSHIP LINE RD
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083
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:2015-03-31
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA13643601376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1006809560004Medicaid