Healthcare Provider Details

I. General information

NPI: 1811707771
Provider Name (Legal Business Name): FAFFY QUALITY HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2025
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4811 JONESTOWN RD STE 226A
HARRISBURG PA
17109-1745
US

IV. Provider business mailing address

4811 JONESTOWN RD STE 226A
HARRISBURG PA
17109-1745
US

V. Phone/Fax

Practice location:
  • Phone: 717-216-0083
  • Fax:
Mailing address:
  • Phone: 717-216-0083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. OLUSESAN. A FAFIOLU
Title or Position: CEO
Credential:
Phone: 717-216-0083