HOME HEALTHCARE RESOURCES INC

Provider Demographics

• NPI: 1578521043
• Name: HOME HEALTHCARE RESOURCES INC
• Entity Type: Organization
• Organization Name: HOME HEALTHCARE RESOURCES INC
• Other - Org Name: HOME HEALTHCARE RESOURCES INC
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: ASSISTANT SECRETARY
• Authorized Official - First Name: VICTOR
• Authorized Official - Last Name: PERINI
• Authorized Official - Phone: 901-381-7466
• Mailing Address - Street 1: PO BOX 416187
• Mailing Address - City: BOSTON
• Mailing Address - State: MA
• Mailing Address - Zip Code: 02241-6187
• Mailing Address - Country: US
• Mailing Address - Phone: 901-381-7170
• Mailing Address - Fax: 901-261-6924
• Practice Address - Street 1: 800 CLARMONT AVE
• Practice Address - City: BENSALEM
• Practice Address - State: PA
• Practice Address - Zip Code: 19020-5705
• Practice Address - Country: US
• Practice Address - Phone: 215-245-1888
• Practice Address - Fax: 215-245-9038
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-05-03
• Last Update Date: 2012-09-06

Provider Licenses

State	License ID	Taxonomies
		332B00000X, 3336H0001X, 3336S0011X
PA	PP413944L	3336C0003X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	3336C0003X	Suppliers	Pharmacy	Community/Retail Pharmacy
No	332B00000X	Suppliers	Durable Medical Equipment & Medical Supplies
No	3336H0001X	Suppliers	Pharmacy	Home Infusion Therapy Pharmacy
No	3336S0011X	Suppliers	Pharmacy	Specialty Pharmacy

Provider Identifiers

State	Identifier ID	ID Type	Issuer
CT	003138197	Medicaid
MS	09150235	Medicaid
PA	3395430	Medicaid
ME	432501000	Medicaid
WA	6029631	Medicaid
SC	DM1261	Medicaid
MD	0554782000	Medicaid
IA	0729574	Medicaid
OH	0944287	Medicaid
IN	200847390A	Medicaid
PA	2395430	Medicaid
NY	02044168	Medicaid
DC	1578521043	Medicaid
	3954307	Other	NCPDP PROVIDER IDENTIFICATION NUMBER
PA	4395430	Medicaid
ID	807528300	Medicaid
AK	PH155PA	Medicaid
DE	0000467807	Medicaid
DE	0000468216	Medicaid
PA	1395430	Medicaid
NJ	4456700	Medicaid
PA	6395430	Medicaid
PA	0010951610002	Medicaid
OK	200065110B	Medicaid
MI	5188554	Medicaid
PA	0395430	Medicaid
MD	055202000	Medicaid
TN	1509235	Medicaid
OK	200065110A	Medicaid
NM	29178797	Medicaid
PA	5395430	Medicaid
KY	5401291900	Medicaid
AZ	220213	Medicaid
WV	3810008826	Medicaid
NJ	3907201	Medicaid
SC	7P944L	Medicaid
NY	JT3	Medicaid
PA	5395430	Medicaid
KY	5401291900	Medicaid
PA	5395430	Medicaid
	540020880	Medicare PIN