Provider Demographics
NPI:1902405434
Name:ART CARE HOME HEALTH CARE AGENCY LLC
Entity Type:Organization
Organization Name:ART CARE HOME HEALTH CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:THORNTON-BOWMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-549-7151
Mailing Address - Street 1:900 GILHAM ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-5418
Mailing Address - Country:US
Mailing Address - Phone:267-549-7151
Mailing Address - Fax:
Practice Address - Street 1:1409 W MASTER ST STE 107
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19121-4339
Practice Address - Country:US
Practice Address - Phone:215-749-4000
Practice Address - Fax:215-749-4001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care