Provider Demographics
NPI:1629451539
Name:ARP HEALTHCARE PHILADELPHIA INC.
Entity Type:Organization
Organization Name:ARP HEALTHCARE PHILADELPHIA INC.
Other - Org Name:INTERIM HEALTHCARE OF PHILADELPHIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMIERI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:610-986-9134
Mailing Address - Street 1:222 AUTUMN DR
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2910
Mailing Address - Country:US
Mailing Address - Phone:610-524-1954
Mailing Address - Fax:610-524-1810
Practice Address - Street 1:222 AUTUMN DR
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2910
Practice Address - Country:US
Practice Address - Phone:610-524-1954
Practice Address - Fax:610-524-1810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-09
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA28033601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAFEIN =========OtherAPPLYING FOR WAIVER/MEDICAID