Provider Demographics
NPI:1518598770
Name:CONFIDENTLY COVERED HOME CARE
Entity Type:Organization
Organization Name:CONFIDENTLY COVERED HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NADERAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ENSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:484-450-6607
Mailing Address - Street 1:1720 S YEWDALL ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19143-5430
Mailing Address - Country:US
Mailing Address - Phone:215-500-6711
Mailing Address - Fax:
Practice Address - Street 1:1720 S YEWDALL ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19143-5430
Practice Address - Country:US
Practice Address - Phone:267-407-3215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-27
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health