Provider Demographics
NPI:1588035471
Name:GREATER HOMECARE SERVICES INC.
Entity Type:Organization
Organization Name:GREATER HOMECARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TEBOHO
Authorized Official - Middle Name:L
Authorized Official - Last Name:MATHUTHU
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BS
Authorized Official - Phone:267-296-0076
Mailing Address - Street 1:8110 W CHESTER PIKE
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-2828
Mailing Address - Country:US
Mailing Address - Phone:484-452-8042
Mailing Address - Fax:484-452-8043
Practice Address - Street 1:8110 W CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-2828
Practice Address - Country:US
Practice Address - Phone:484-452-8042
Practice Address - Fax:484-452-8043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-17
Last Update Date:2015-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA28893601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care