Healthcare Provider Details

I. General information

NPI: 1952912966
Provider Name (Legal Business Name): CHELLEYS PASSIONATE CARETAKERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2020
Last Update Date: 08/09/2023
Certification Date: 08/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 WILLOW WAY APT 2
GLENOLDEN PA
19036-2201
US

IV. Provider business mailing address

2 DANVILLE CT
NEW CASTLE DE
19720-3874
US

V. Phone/Fax

Practice location:
  • Phone: 215-327-7874
  • Fax:
Mailing address:
  • Phone: 302-319-7709
  • 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 Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE JOHNSON
Title or Position: CEO
Credential:
Phone: 302-319-7709