Provider Demographics
NPI:1790502755
Name:A BIRDS NEST HOMECARE LLC
Entity type:Organization
Organization Name:A BIRDS NEST HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZAHIRAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HUMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-235-8087
Mailing Address - Street 1:109 CARMELLA CT
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-3256
Mailing Address - Country:US
Mailing Address - Phone:267-235-8087
Mailing Address - Fax:
Practice Address - Street 1:109 CARMELLA CT
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-3256
Practice Address - Country:US
Practice Address - Phone:267-235-8087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care