Healthcare Provider Details

I. General information

NPI: 1013524412
Provider Name (Legal Business Name): ELDACARE HOME HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2020
Last Update Date: 09/28/2021
Certification Date: 09/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7106 CASTOR AVE
PHILADELPHIA PA
19149-1103
US

IV. Provider business mailing address

1915 NAPFLE AVE
PHILADELPHIA PA
19111-3424
US

V. Phone/Fax

Practice location:
  • Phone: 267-242-4795
  • Fax:
Mailing address:
  • Phone:
  • 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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ELDA FOSTER
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 267-981-4827