Provider Demographics
NPI:1801470927
Name:GRATIFYING HOME CARE LLC
Entity type:Organization
Organization Name:GRATIFYING HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DECLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:EBURUOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-771-4455
Mailing Address - Street 1:525 IRVINGTON RD
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-1322
Mailing Address - Country:US
Mailing Address - Phone:215-771-5544
Mailing Address - Fax:
Practice Address - Street 1:800 CHESTER PIKE STE 607
Practice Address - Street 2:
Practice Address - City:SHARON HILL
Practice Address - State:PA
Practice Address - Zip Code:19079-1400
Practice Address - Country:US
Practice Address - Phone:215-771-5544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-06
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care