Healthcare Provider Details

I. General information

NPI: 1669145561
Provider Name (Legal Business Name): CARING HANDS ADULT DAY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2021
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3125 N BROAD ST FL 2
PHILADELPHIA PA
19132-2422
US

IV. Provider business mailing address

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

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. IKISHIA NATAYE JACKSON
Title or Position: ADMINISTRATOR/OWNER
Credential: REGISTERED NURSE
Phone: 267-439-0966