Healthcare Provider Details

I. General information

NPI: 1093621278
Provider Name (Legal Business Name): TRUELY HEAVEN HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3098 1/2 RUTH ST
PHILADELPHIA PA
19134
US

IV. Provider business mailing address

3098 1/2 RUTH ST
PHILADELPHIA PA
19134
US

V. Phone/Fax

Practice location:
  • Phone: 445-251-0400
  • Fax:
Mailing address:
  • Phone: 445-251-0400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. FELICIA SMITH
Title or Position: ADMINISTRATOR
Credential:
Phone: 267-259-3788