Provider Demographics
NPI:1841064680
Name:PHILADELPHIA SENIOR CARE LLC
Entity type:Organization
Organization Name:PHILADELPHIA SENIOR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR CARE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PATTIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HARPSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-975-0540
Mailing Address - Street 1:79 E POMFRET ST
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-3313
Mailing Address - Country:US
Mailing Address - Phone:717-975-0540
Mailing Address - Fax:717-386-5132
Practice Address - Street 1:1515 MARKET ST STE 1200
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1932
Practice Address - Country:US
Practice Address - Phone:215-482-7880
Practice Address - Fax:717-386-5132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty