Healthcare Provider Details

I. General information

NPI: 1538074364
Provider Name (Legal Business Name): SACRED FAMILY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/23/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2866 WALNUT HILL ST
PHILADELPHIA PA
19152-2125
US

IV. Provider business mailing address

2866 WALNUT HILL ST
PHILADELPHIA PA
19152-2125
US

V. Phone/Fax

Practice location:
  • Phone: 215-600-0140
  • Fax: 215-600-0140
Mailing address:
  • Phone: 215-600-0140
  • Fax: 215-600-0140

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: AMANDA WAJDA
Title or Position: ADMINISTRATOR
Credential:
Phone: 215-600-0140