Healthcare Provider Details

I. General information

NPI: 1245890821
Provider Name (Legal Business Name): ACHILLES CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2019
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 N YORK RD STE 1
HATBORO PA
19040-2622
US

IV. Provider business mailing address

1224 HILLTOP RD
SOUTHAMPTON PA
18966-3362
US

V. Phone/Fax

Practice location:
  • Phone: 215-259-5190
  • Fax: 215-259-6174
Mailing address:
  • Phone: 215-322-1416
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. AYNA TREVETHAN
Title or Position: OWNER
Credential:
Phone: 267-886-2979