Healthcare Provider Details

I. General information

NPI: 1063426831
Provider Name (Legal Business Name): NURSING HOME CARE MANAGEMENT INC.,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 04/29/2022
Certification Date: 04/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10890 BUSTLETON AVE STE. 211
PHILADELPHIA PA
19116-3313
US

IV. Provider business mailing address

10890 BUSTLETON AVE STE. 211
PHILADELPHIA PA
19116-3313
US

V. Phone/Fax

Practice location:
  • Phone: 215-677-3299
  • Fax: 215-677-9811
Mailing address:
  • Phone: 215-677-3299
  • Fax: 215-677-9811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1000077100006
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number397658
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1000077100002
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1000077100011
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1000077100010
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number1000077100013
License Number StatePA
# 7
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number1000077100001
License Number StatePA
# 8
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1000077100005
License Number StatePA

VIII. Authorized Official

Name: MS. VOLHA VOLOSEVICH
Title or Position: ADMINISTRATOR
Credential: LPC
Phone: 215-677-3299