Healthcare Provider Details

I. General information

NPI: 1528748449
Provider Name (Legal Business Name): PUT YOUR HART IN OUR HANDS AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2023
Last Update Date: 07/25/2023
Certification Date: 07/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 YORK RD
JENKINTOWN PA
19046-3200
US

IV. Provider business mailing address

201 YORK RD # 1
JENKINTOWN PA
19046-3200
US

V. Phone/Fax

Practice location:
  • Phone: 267-401-3374
  • Fax:
Mailing address:
  • Phone: 267-401-3374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH HART
Title or Position: PRESIDENT
Credential:
Phone: 267-401-3374