Healthcare Provider Details

I. General information

NPI: 1437086469
Provider Name (Legal Business Name): PHASE TWO HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3477 CORPORATE PKWY STE 119
CENTER VALLEY PA
18034-8235
US

IV. Provider business mailing address

3477 CORPORATE PKWY STE 119
CENTER VALLEY PA
18034-8235
US

V. Phone/Fax

Practice location:
  • Phone: 610-621-1023
  • Fax: 610-621-1049
Mailing address:
  • Phone: 610-621-1023
  • Fax: 610-621-1049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID OLAYINKA
Title or Position: MANAGING MEMBER
Credential:
Phone: 610-621-1023