Provider Demographics
NPI:1750959326
Name:RECEPTIVE HOME CARE
Entity type:Organization
Organization Name:RECEPTIVE HOME CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BURGESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-609-0620
Mailing Address - Street 1:751 VANDENBURG ROAD
Mailing Address - Street 2:2206
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1661
Mailing Address - Country:US
Mailing Address - Phone:610-609-0620
Mailing Address - Fax:
Practice Address - Street 1:751 VANDENBURG RD APT 2206
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1661
Practice Address - Country:US
Practice Address - Phone:610-609-0620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-11
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No251E00000XAgenciesHome Health