Provider Demographics
NPI:1710469242
Name:HOME CARE OF PHILADELPHIA INC
Entity Type:Organization
Organization Name:HOME CARE OF PHILADELPHIA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:REJNALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GJOGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-941-7370
Mailing Address - Street 1:7148 FRANKFORD AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19135-1018
Mailing Address - Country:US
Mailing Address - Phone:215-941-7370
Mailing Address - Fax:215-318-0220
Practice Address - Street 1:7148 FRANKFORD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19135-1018
Practice Address - Country:US
Practice Address - Phone:215-941-7370
Practice Address - Fax:215-318-0220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-31
Last Update Date:2018-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health