Healthcare Provider Details

I. General information

NPI: 1528779469
Provider Name (Legal Business Name): HAND AND HAND HOMECARE AGENCY 2
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2022
Last Update Date: 02/13/2023
Certification Date: 02/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4034 BENNINGTON ST
PHILADELPHIA PA
19124-5222
US

IV. Provider business mailing address

4034 BENNINGTON ST
PHILADELPHIA PA
19124-5222
US

V. Phone/Fax

Practice location:
  • Phone: 215-681-5105
  • Fax:
Mailing address:
  • Phone: 215-681-5105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: SHERRI P HINSON
Title or Position: OWNER
Credential: BSN
Phone: 910-964-1475