MEDICARE: RUTH ELLER'S HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1114879483
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RUTH ELLER'S HOME CARE LLC

Provider Business Mailing Address
First Line	:	1414 N 62ND ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19151-3801
Country	:	US
Telephone Number	:	267-592-8047
Fax Number	:

Provider Business Practice Location Address
First Line	:	1414 N 62ND ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19151-3801
Country	:	US
Telephone Number	:	267-592-8047
Fax Number	:

Authorized Official
Title or Position	:	CEO-OWNER
Name	:	MS. VANESSA MUCHISON-HALL
Credential	:
Telephone Number	:	267-592-8047

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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