Provider Demographics
NPI:1891468724
Name:CAREMAX HOMECARE OF PHILLY INC
Entity Type:Organization
Organization Name:CAREMAX HOMECARE OF PHILLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MD
Authorized Official - Middle Name:Z
Authorized Official - Last Name:RAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-744-5934
Mailing Address - Street 1:123 VAN WINKLE AVE APT 1F
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-3827
Mailing Address - Country:US
Mailing Address - Phone:646-744-5934
Mailing Address - Fax:
Practice Address - Street 1:325 CHESTNUT ST STE 800
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-2608
Practice Address - Country:US
Practice Address - Phone:646-744-5934
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health