Healthcare Provider Details

I. General information

NPI: 1619656519
Provider Name (Legal Business Name): HEALTHY LIVING CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2023
Last Update Date: 07/17/2023
Certification Date: 07/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2953 KIP ST
PHILADELPHIA PA
19134-2823
US

IV. Provider business mailing address

2953 KIP ST
PHILADELPHIA PA
19134-2823
US

V. Phone/Fax

Practice location:
  • Phone: 267-237-2181
  • Fax:
Mailing address:
  • Phone: 267-237-2181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: EDWARD LITTLEPAGE
Title or Position: CEO/OWNER
Credential:
Phone: 267-237-2181