Provider Demographics
NPI:1952064693
Name:REDEEM AMERICAN HOME CARE LLC
Entity Type:Organization
Organization Name:REDEEM AMERICAN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALFREDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-868-8293
Mailing Address - Street 1:2209 S 63RD ST # 1
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19142-2303
Mailing Address - Country:US
Mailing Address - Phone:215-868-8293
Mailing Address - Fax:267-292-5572
Practice Address - Street 1:2209 S 63RD ST # 1
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19142-2303
Practice Address - Country:US
Practice Address - Phone:215-868-8293
Practice Address - Fax:267-292-5572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-19
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit