MEDICARE: MR. JOEL ADLER

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	41643601	PA
2	372600000X	Adult Companion	41643601	PA
3	376J00000X	Homemaker	41643601	PA
4	376K00000X	Nurse's Aide	41643601	PA
5	385H00000X	Respite Care	41643601	PA
6	374U00000X	Home Health Aide	41643601	PA

General Provider Information

NPI Number	:	1437793304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOEL ADLER

Provider Business Mailing Address
First Line	:	PO BOX 1141
Second Line	:
City	:	BALA CYNWYD
State	:	PA
Zip	:	19004-5141
Country	:	US
Telephone Number	:	610-624-9222
Fax Number	:	610-664-3373

Provider Business Practice Location Address
First Line	:	520 PRESCOTT RD
Second Line	:
City	:	MERION STATION
State	:	PA
Zip	:	19066-1041
Country	:	US
Telephone Number	:	610-624-9222
Fax Number	:	610-664-3373

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2019
Last Update Date	:	11/04/2019

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