Provider Demographics
NPI:1740859826
Name:HUMANITAS HEALTH SERVICES INC
Entity type:Organization
Organization Name:HUMANITAS HEALTH SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONID
Authorized Official - Middle Name:
Authorized Official - Last Name:NISENZON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-302-9955
Mailing Address - Street 1:1051 COUNTY LINE ROAD
Mailing Address - Street 2:UNIT 104
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006
Mailing Address - Country:US
Mailing Address - Phone:215-302-9955
Mailing Address - Fax:215-486-1253
Practice Address - Street 1:1051 COUNTY LINE RD STE 104
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-1234
Practice Address - Country:US
Practice Address - Phone:484-557-1481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUMANITAS HEALTH SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-22
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based