MEDICARE: RM HOME SERVICES

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	15203601	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730437781
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RM HOME SERVICES

Provider Business Mailing Address
First Line	:	672 MAIN ST
Second Line	:
City	:	HARLEYSVILLE
State	:	PA
Zip	:	19438-1679
Country	:	US
Telephone Number	:	267-932-6030
Fax Number	:	267-932-6035

Provider Business Practice Location Address
First Line	:	672 MAIN ST
Second Line	:
City	:	HARLEYSVILLE
State	:	PA
Zip	:	19438-1679
Country	:	US
Telephone Number	:	267-932-6030
Fax Number	:	267-932-6035

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. MARY J TIDEY
Credential	:	RN, BS
Telephone Number	:	267-932-6030

Provider Enumeration Date	:	08/23/2012
Last Update Date	:	02/14/2014

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