Provider Demographics
NPI:1689796526
Name:VILLAGE CARE FAMILY SERVICES, INC.
Entity Type:Organization
Organization Name:VILLAGE CARE FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOETTA
Authorized Official - Middle Name:MORAN
Authorized Official - Last Name:KERSEY
Authorized Official - Suffix:SR
Authorized Official - Credentials:SLP
Authorized Official - Phone:215-879-4023
Mailing Address - Street 1:4950 PARKSIDE AVE
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-4746
Mailing Address - Country:US
Mailing Address - Phone:215-879-4023
Mailing Address - Fax:215-879-3405
Practice Address - Street 1:4950 PARKSIDE AVE
Practice Address - Street 2:5TH FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-4746
Practice Address - Country:US
Practice Address - Phone:215-879-4023
Practice Address - Fax:215-879-3405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019700360002OtherPROVIDER NUMBER