Healthcare Provider Details

I. General information

NPI: 1942969613
Provider Name (Legal Business Name): HELEN HEARTS CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2021
Last Update Date: 12/10/2021
Certification Date: 12/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 E ASHDALE ST
PHILADELPHIA PA
19120-3605
US

IV. Provider business mailing address

516 E ASHDALE ST
PHILADELPHIA PA
19120-3605
US

V. Phone/Fax

Practice location:
  • Phone: 267-237-7259
  • Fax:
Mailing address:
  • Phone: 267-237-7259
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS HELEN ELIZABETH KNOX
Title or Position: OWNER
Credential: LPN
Phone: 267-237-7259