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NPI Code Detail

MEDICARE: CENTER ONE COMMUNITY TEAM

MEDICARE: CENTER ONE COMMUNITY TEAM
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
1332U00000XHome Delivered Meals
2174200000XMeals Provider
3163W00000XRegistered Nurse

General Provider Information

NPI Number : 1720978323
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER ONE COMMUNITY TEAM
Provider Business Mailing Address
First Line : 7307 BUIST AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19153-2204
Country : US
Telephone Number : 610-998-5794
Fax Number :
Provider Business Practice Location Address
First Line : 7307 BUIST AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19153-2204
Country : US
Telephone Number : 610-998-5794
Fax Number :
Authorized Official
Title or Position : CEO
Name : MRS. LORRAINE SHARDAY CAREY
Credential :
Telephone Number : 610-998-5794
Provider Enumeration Date : 07/07/2025
Last Update Date : 04/03/2026

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Directions to “CENTER ONE COMMUNITY TEAM ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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