Healthcare Provider Details

I. General information

NPI: 1285087734
Provider Name (Legal Business Name): CARING HANDS PERSONAL HOMES AGENCY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2016
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 E GIRARD AVE APT 1
PHILADELPHIA PA
19125-3400
US

IV. Provider business mailing address

1539 N PHILIP ST UNIT 5
PHILADELPHIA PA
19122-3816
US

V. Phone/Fax

Practice location:
  • Phone: 267-439-0966
  • Fax: 215-425-4414
Mailing address:
  • Phone: 267-439-0966
  • Fax: 215-220-2643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: IKISHA JACKSON
Title or Position: PRESIDENT
Credential:
Phone: 267-439-0966