Healthcare Provider Details

I. General information

NPI: 1104533389
Provider Name (Legal Business Name): DELAWARE VALLEY QUALITY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2022
Last Update Date: 02/03/2023
Certification Date: 02/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 E WAYNE AVE
ALDAN PA
19018-4025
US

IV. Provider business mailing address

25 E WAYNE AVE
ALDAN PA
19018-4025
US

V. Phone/Fax

Practice location:
  • Phone: 267-441-0263
  • Fax:
Mailing address:
  • Phone: 267-441-0263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SEMBU KAMARA
Title or Position: CEO
Credential:
Phone: 267-441-0263