Provider Demographics
NPI:1518585702
Name:INDEPENDENT HOME HEALTH LLC
Entity Type:Organization
Organization Name:INDEPENDENT HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:LEVI
Authorized Official - Middle Name:J
Authorized Official - Last Name:SWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-786-8181
Mailing Address - Street 1:8033 OLD YORK RD STE 210A
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1422
Mailing Address - Country:US
Mailing Address - Phone:215-786-8181
Mailing Address - Fax:
Practice Address - Street 1:8531 BENTON AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-1216
Practice Address - Country:US
Practice Address - Phone:347-388-4430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-14
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No374K00000XNursing Service Related ProvidersReligious Nonmedical PractitionerGroup - Multi-Specialty