Provider Demographics
NPI:1265221816
Name:MAEBILITY HOMECARE AGENCY LLC
Entity type:Organization
Organization Name:MAEBILITY HOMECARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:L
Authorized Official - Last Name:KIMBLE
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD
Authorized Official - Phone:215-882-4197
Mailing Address - Street 1:523 CONSTITUTION WAY
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-1567
Mailing Address - Country:US
Mailing Address - Phone:215-882-4197
Mailing Address - Fax:215-882-4197
Practice Address - Street 1:40 W EVERGREEN AVE STE 101
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19118-3324
Practice Address - Country:US
Practice Address - Phone:267-267-4860
Practice Address - Fax:267-267-4860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care