Healthcare Provider Details

I. General information

NPI: 1265221816
Provider Name (Legal Business Name): MAEBILITY HOMECARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2025
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 N CHRISTIAN ST
LANCASTER PA
17602-2828
US

IV. Provider business mailing address

40 W EVERGREEN AVE STE 101
PHILADELPHIA PA
19118-3324
US

V. Phone/Fax

Practice location:
  • Phone: 267-267-4860
  • Fax: 267-267-4860
Mailing address:
  • Phone: 215-882-4197
  • Fax: 215-882-4197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. WALTER L KIMBLE JR.
Title or Position: OWNER
Credential: PHD
Phone: 215-882-4197