Healthcare Provider Details

I. General information

NPI: 1518426733
Provider Name (Legal Business Name): EUPHORIA HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 08/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 MONUMENT RD STE 207
BALA CYNWYD PA
19004-1725
US

IV. Provider business mailing address

1702 S NATRONA ST
PHILADELPHIA PA
19145-1648
US

V. Phone/Fax

Practice location:
  • Phone: 215-586-3777
  • Fax:
Mailing address:
  • Phone: 267-582-9402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. NICOLE NAKEEYA SINGLETON
Title or Position: DIRECTOR
Credential: MSN
Phone: 267-582-9402