Provider Demographics
NPI:1003431412
Name:TAHARA HEALTH, INC.
Entity type:Organization
Organization Name:TAHARA HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:L
Authorized Official - Last Name:SESAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-764-6802
Mailing Address - Street 1:589 BETHLEHEM PIKE STE 600
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18936-9715
Mailing Address - Country:US
Mailing Address - Phone:215-764-6802
Mailing Address - Fax:215-509-5596
Practice Address - Street 1:589 BETHLEHEM PIKE STE 600
Practice Address - Street 2:
Practice Address - City:MONTGOMERYVILLE
Practice Address - State:PA
Practice Address - Zip Code:18936-9715
Practice Address - Country:US
Practice Address - Phone:215-764-6802
Practice Address - Fax:215-509-5596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-11
Last Update Date:2024-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103833217001Medicaid