Provider Demographics
NPI:1578503090
Name:HOMEMAKER SERVICE OF THE METROPOLITAN AREA INC.
Entity Type:Organization
Organization Name:HOMEMAKER SERVICE OF THE METROPOLITAN AREA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:S
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-592-0002
Mailing Address - Street 1:444 N 3RD ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19123-4107
Mailing Address - Country:US
Mailing Address - Phone:215-592-0002
Mailing Address - Fax:215-592-0330
Practice Address - Street 1:444 N 3RD ST
Practice Address - Street 2:SUITE 202
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19123-4107
Practice Address - Country:US
Practice Address - Phone:215-592-0002
Practice Address - Fax:215-592-0330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2018-10-03
Deactivation Date:2018-08-21
Deactivation Code:
Reactivation Date:2018-10-03
Provider Licenses
StateLicense IDTaxonomies
PA710705251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1006807960008Medicaid
PA1006807960008Medicaid