Provider Demographics
NPI:1912158932
Name:IMMEDIATE HOMECARE, LLC
Entity Type:Organization
Organization Name:IMMEDIATE HOMECARE, LLC
Other - Org Name:IMMEDIATE HOMECARE AND HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:215-638-2223
Mailing Address - Street 1:2920 OLGA AVE
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-4233
Mailing Address - Country:US
Mailing Address - Phone:215-638-2223
Mailing Address - Fax:215-638-3439
Practice Address - Street 1:2920 OLGA AVE
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-4233
Practice Address - Country:US
Practice Address - Phone:215-638-2223
Practice Address - Fax:215-638-3439
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IMMEDIATE HOMECARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-08
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA391711Medicare Oscar/Certification