Provider Demographics
NPI:1497316616
Name:SHC - SUMA HOME CARE LLC
Entity Type:Organization
Organization Name:SHC - SUMA HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IBRAHIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SUMA-KEITA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-557-2076
Mailing Address - Street 1:23 S CHESTER PIKE
Mailing Address - Street 2:
Mailing Address - City:GLENOLDEN
Mailing Address - State:PA
Mailing Address - Zip Code:19036-1830
Mailing Address - Country:US
Mailing Address - Phone:484-206-4544
Mailing Address - Fax:484-206-4555
Practice Address - Street 1:23 S CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:GLENOLDEN
Practice Address - State:PA
Practice Address - Zip Code:19036-1830
Practice Address - Country:US
Practice Address - Phone:484-206-4544
Practice Address - Fax:484-206-4555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-27
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care