Provider Demographics
NPI:1912617226
Name:FOX CHASE HOME HEALTHCARE
Entity Type:Organization
Organization Name:FOX CHASE HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHELTON
Authorized Official - Middle Name:
Authorized Official - Last Name:WALTERS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:302-233-2532
Mailing Address - Street 1:83 FOX CHASE RD
Mailing Address - Street 2:
Mailing Address - City:FELTON
Mailing Address - State:DE
Mailing Address - Zip Code:19943-5510
Mailing Address - Country:US
Mailing Address - Phone:302-233-3095
Mailing Address - Fax:
Practice Address - Street 1:83 FOX CHASE RD
Practice Address - Street 2:
Practice Address - City:FELTON
Practice Address - State:DE
Practice Address - Zip Code:19943-5510
Practice Address - Country:US
Practice Address - Phone:302-233-3095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty