Healthcare Provider Details

I. General information

NPI: 1154907863
Provider Name (Legal Business Name): CONCIERGE HOME HEALTH CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 03/23/2021
Certification Date: 03/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

196 W ASHLAND ST # 435
DOYLESTOWN PA
18901-4040
US

IV. Provider business mailing address

3 GRACE AVE STE 181
GREAT NECK NY
11021-2400
US

V. Phone/Fax

Practice location:
  • Phone: 215-703-8085
  • Fax:
Mailing address:
  • Phone: 516-362-3000
  • 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 Code251F00000X
TaxonomyHome Infusion 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

VIII. Authorized Official

Name: JULIA AKINYOOYE
Title or Position: MANAGER
Credential:
Phone: 215-703-8085