MEDICARE: SELFLOVE AND COMPASSION HOMECARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	385H00000X	Respite Care
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1588433791
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SELFLOVE AND COMPASSION HOMECARE LLC

Provider Business Mailing Address
First Line	:	824 E WOODLAWN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19138-2331
Country	:	US
Telephone Number	:	267-977-2413
Fax Number	:

Provider Business Practice Location Address
First Line	:	824 E WOODLAWN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19138-2331
Country	:	US
Telephone Number	:	267-977-2413
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHAQUANA BAKER
Credential	:
Telephone Number	:	267-977-2413

Provider Enumeration Date	:	12/28/2023
Last Update Date	:	12/28/2023

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