Provider Demographics
NPI:1245039874
Name:MODEL HOME CARE
Entity type:Organization
Organization Name:MODEL HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ORLA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:TREACY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-778-4025
Mailing Address - Street 1:219 GLENN RD
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003-2511
Mailing Address - Country:US
Mailing Address - Phone:215-778-4025
Mailing Address - Fax:
Practice Address - Street 1:219 GLENN RD
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:PA
Practice Address - Zip Code:19003-2511
Practice Address - Country:US
Practice Address - Phone:215-778-4025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care