MEDICARE: NEW FUTURE HOME HEALTH 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1154185965
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW FUTURE HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	1800 S 56TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19143-5614
Country	:	US
Telephone Number	:	215-298-3950
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 S 56TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19143-5614
Country	:	US
Telephone Number	:	215-298-3950
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. CRAIG WOOTEN
Credential	:
Telephone Number	:	215-298-3950

Provider Enumeration Date	:	02/12/2024
Last Update Date	:	02/12/2024

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Directions to “NEW FUTURE HOME HEALTH LLC ” Practice Location

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