Healthcare Provider Details

I. General information

NPI: 1174236038
Provider Name (Legal Business Name): THE NEW UMBRELLA ACADEMY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2023
Last Update Date: 01/05/2023
Certification Date: 01/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S NEWTOWN STREET RD
NEWTOWN SQUARE PA
19073-4120
US

IV. Provider business mailing address

5206 GRAMERCY DR
CLIFTON HEIGHTS PA
19018-1003
US

V. Phone/Fax

Practice location:
  • Phone: 610-233-9552
  • Fax:
Mailing address:
  • Phone: 610-233-9552
  • 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: FRANCINE HAIRSTON
Title or Position: OWNER
Credential:
Phone: 610-233-9552