Healthcare Provider Details

I. General information

NPI: 1376159905
Provider Name (Legal Business Name): HUMANUS CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2020
Last Update Date: 09/18/2020
Certification Date: 09/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 FIRST AVE STE 503
KING OF PRUSSIA PA
19406-1327
US

IV. Provider business mailing address

1100 FIRST AVE STE 503
KING OF PRUSSIA PA
19406-1327
US

V. Phone/Fax

Practice location:
  • Phone: 484-320-7350
  • Fax:
Mailing address:
  • Phone: 484-320-7350
  • 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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DEBRA STEHMAN
Title or Position: CHIEF OPERATING OFFICER
Credential: CPA
Phone: 484-320-7350