Healthcare Provider Details

I. General information

NPI: 1598684862
Provider Name (Legal Business Name): PA HEALTH AND CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 N 64TH ST FL 2
PHILADELPHIA PA
19139-1005
US

IV. Provider business mailing address

308 N 64TH ST FL 2
PHILADELPHIA PA
19139-1005
US

V. Phone/Fax

Practice location:
  • Phone: 215-594-1322
  • Fax:
Mailing address:
  • Phone: 215-594-1322
  • 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. MARLENE MCCOY
Title or Position: CO-OWNER/ADMINISTRATOR
Credential:
Phone: 215-594-1322