Provider Demographics
NPI:1659705234
Name:DF HEALTHCARE PARTNERS, LLC
Entity Type:Organization
Organization Name:DF HEALTHCARE PARTNERS, LLC
Other - Org Name:INTERIM HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NICKERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-434-7277
Mailing Address - Street 1:2200 HAMILTON ST STE 112
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-6329
Mailing Address - Country:US
Mailing Address - Phone:610-434-7277
Mailing Address - Fax:610-434-6974
Practice Address - Street 1:2200 HAMILTON ST STE 112
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-6329
Practice Address - Country:US
Practice Address - Phone:610-434-7277
Practice Address - Fax:610-434-6974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-30
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102895921Medicaid
PA720205OtherPENNSYLVANIA LICENSE NUMBER