Provider Demographics
NPI:1982732996
Name:INGLIS AT HOME SERVICES
Entity Type:Organization
Organization Name:INGLIS AT HOME SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:R
Authorized Official - Last Name:PORRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-878-5600
Mailing Address - Street 1:2600 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-2713
Mailing Address - Country:US
Mailing Address - Phone:215-878-5600
Mailing Address - Fax:215-878-6353
Practice Address - Street 1:2600 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-2713
Practice Address - Country:US
Practice Address - Phone:215-878-5600
Practice Address - Fax:215-878-6353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1006809380001Medicaid