Healthcare Provider Details

I. General information

NPI: 1508656430
Provider Name (Legal Business Name): AWITI UPENDO HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1265 REIFF RD
LANSDALE PA
19446-4437
US

IV. Provider business mailing address

1265 REIFF RD
LANSDALE PA
19446-4437
US

V. Phone/Fax

Practice location:
  • Phone: 267-726-1493
  • Fax: 267-726-1493
Mailing address:
  • Phone: 267-726-1493
  • 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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHNSON AWIOR
Title or Position: OWNER/MEMEBER
Credential:
Phone: 215-631-4400