Healthcare Provider Details

I. General information

NPI: 1053613836
Provider Name (Legal Business Name): H&C NURSING CARE SERVICES.LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2010
Last Update Date: 01/04/2023
Certification Date: 01/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 HIGHLAND BLVD STE 105
COATESVILLE PA
19320-5810
US

IV. Provider business mailing address

525 HIGHLAND BLVD STE 105
COATESVILLE PA
19320-5810
US

V. Phone/Fax

Practice location:
  • Phone: 484-359-4357
  • Fax: 484-359-4372
Mailing address:
  • Phone: 485-359-4357
  • Fax: 484-359-4372

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. HARRIET FORKUOH
Title or Position: DIRECTOR
Credential:
Phone: 301-408-9467