Healthcare Provider Details

I. General information

NPI: 1770044232
Provider Name (Legal Business Name): CARING FAMILY HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2019
Last Update Date: 03/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

826 BUSTLETON PIKE STE 108
FEASTERVILLE TREVOSE PA
19053-6002
US

IV. Provider business mailing address

1629 READING CIR
HUNTINGDON VALLEY PA
19006-7762
US

V. Phone/Fax

Practice location:
  • Phone: 844-818-0039
  • Fax: 267-778-9184
Mailing address:
  • Phone: 844-818-0039
  • Fax: 267-778-9184

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 Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: DMITRY DENABURG
Title or Position: PRESIDENT
Credential:
Phone: 267-251-0367