Healthcare Provider Details

I. General information

NPI: 1508861097
Provider Name (Legal Business Name): NEW LIFE HOME HEALTH CARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 05/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2655 PHILMONT AVE STE 101
HUNTINGDON VALLEY PA
19006-5314
US

IV. Provider business mailing address

2655 PHILMONT AVE STE 101
HUNTINGDON VALLEY PA
19006-5314
US

V. Phone/Fax

Practice location:
  • Phone: 215-947-8220
  • Fax: 215-938-1211
Mailing address:
  • Phone: 215-947-8220
  • Fax: 215-938-1211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number02150501
License Number StatePA

VIII. Authorized Official

Name: MR. BORIS APEL
Title or Position: C.F.O.
Credential:
Phone: 215-947-8220