Healthcare Provider Details

I. General information

NPI: 1497513295
Provider Name (Legal Business Name): BEST CARE HOME AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2024
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 CAMPUS BLVD STE 122
NEWTOWN SQUARE PA
19073-3245
US

IV. Provider business mailing address

18 CAMPUS BLVD STE 122
NEWTOWN SQUARE PA
19073-3245
US

V. Phone/Fax

Practice location:
  • Phone: 610-613-8552
  • Fax: 484-727-9378
Mailing address:
  • Phone: 610-613-8552
  • Fax: 484-727-9378

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 Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: JEANETTE SMITH NWANIEMEKA
Title or Position: CONSULTANT
Credential: CPMA, CPCO
Phone: 267-858-7514