Provider Demographics
NPI:1851064927
Name:POWER HOME CARE AGENCY INC
Entity Type:Organization
Organization Name:POWER HOME CARE AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OGBU
Authorized Official - Middle Name:
Authorized Official - Last Name:OMAZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-449-5216
Mailing Address - Street 1:1230 GLENVIEW ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-4531
Mailing Address - Country:US
Mailing Address - Phone:850-449-5216
Mailing Address - Fax:267-273-0203
Practice Address - Street 1:1230 GLENVIEW ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-4531
Practice Address - Country:US
Practice Address - Phone:850-449-5216
Practice Address - Fax:267-273-0203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health