Healthcare Provider Details

I. General information

NPI: 1992337216
Provider Name (Legal Business Name): HOME CONCEPT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2020
Last Update Date: 10/04/2023
Certification Date: 02/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1556 BRISTOL PIKE
BENSALEM PA
19020
US

IV. Provider business mailing address

1556 BRISTOL PIKE
BENSALEM PA
19020
US

V. Phone/Fax

Practice location:
  • Phone: 215-331-1643
  • Fax: 215-331-1645
Mailing address:
  • Phone: 215-331-1643
  • Fax: 215-331-1645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. RANDA KARIM
Title or Position: CEO
Credential:
Phone: 215-331-1643