MEDICARE: GREATER PHILADELPHIA HOME HEALTHCARE

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	:	1730792888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREATER PHILADELPHIA HOME HEALTHCARE

Provider Business Mailing Address
First Line	:	5442 TABOR AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19120-2116
Country	:	US
Telephone Number	:	267-914-5356
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 E CATHEDRAL RD STE 45-132
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19128-2128
Country	:	US
Telephone Number	:	267-914-5356
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	BELINDA HENDERSON
Credential	:	RN
Telephone Number	:	267-914-5356

Provider Enumeration Date	:	08/28/2020
Last Update Date	:	08/28/2020

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