Provider Demographics
NPI:1518710623
Name:FAIZA BELOVED HOME CARE LLC
Entity Type:Organization
Organization Name:FAIZA BELOVED HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FATMATA
Authorized Official - Middle Name:
Authorized Official - Last Name:SILLAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-500-3823
Mailing Address - Street 1:146 ABBEY TER
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-2002
Mailing Address - Country:US
Mailing Address - Phone:215-500-3823
Mailing Address - Fax:
Practice Address - Street 1:146 ABBEY TER
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-2002
Practice Address - Country:US
Practice Address - Phone:215-500-3823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty