Provider Demographics
NPI:1972839694
Name:HOMECARE INTERNATIONALLY, INC.
Entity Type:Organization
Organization Name:HOMECARE INTERNATIONALLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNETT-ROBINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-332-0203
Mailing Address - Street 1:6817 TORRESDALE AVE
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19135-2313
Mailing Address - Country:US
Mailing Address - Phone:215-332-0203
Mailing Address - Fax:215-332-0204
Practice Address - Street 1:6817 TORRESDALE AVE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19135-2313
Practice Address - Country:US
Practice Address - Phone:215-332-0203
Practice Address - Fax:215-332-0204
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:N/A
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-10-30
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health