Provider Demographics
NPI:1487013868
Name:ALTRUISTIC HOME HEALTH CARE AGENCY LLC
Entity type:Organization
Organization Name:ALTRUISTIC HOME HEALTH CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BERACHAIH
Authorized Official - Middle Name:
Authorized Official - Last Name:EFOGHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-600-0029
Mailing Address - Street 1:1 NESHAMINY INTERPLEX
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-6969
Mailing Address - Country:US
Mailing Address - Phone:215-600-0029
Mailing Address - Fax:
Practice Address - Street 1:1 NESHAMINY INTERPLEX
Practice Address - Street 2:SUITE 101
Practice Address - City:TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-6969
Practice Address - Country:US
Practice Address - Phone:215-600-0029
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-15
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA22753601251E00000X
PA06360501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health