Provider Demographics
NPI:1013600204
Name:215 HOMECARE
Entity Type:Organization
Organization Name:215 HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GREATER
Authorized Official - Middle Name:
Authorized Official - Last Name:NYAMAYARO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:215-544-2000
Mailing Address - Street 1:8110 W CHESTER PIKE FL 2
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-2828
Mailing Address - Country:US
Mailing Address - Phone:215-544-2000
Mailing Address - Fax:215-948-7775
Practice Address - Street 1:8110 W CHESTER PIKE FL 2
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-2828
Practice Address - Country:US
Practice Address - Phone:215-544-2000
Practice Address - Fax:215-948-7775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health