Healthcare Provider Details

I. General information

NPI: 1326512740
Provider Name (Legal Business Name): SANDRA'S COMFORTING ARMS PERSONAL CARE HOME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2019
Last Update Date: 01/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 W MASTER ST
PHILADELPHIA PA
19121-4917
US

IV. Provider business mailing address

491 BALTIMORE PIKE # 603
SPRINGFIELD PA
19064-3810
US

V. Phone/Fax

Practice location:
  • Phone: 610-659-6669
  • Fax:
Mailing address:
  • Phone: 610-659-6669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. BELINDA MILLS
Title or Position: CEO - ADMINISTRATOR
Credential: MBA
Phone: 610-659-6669