Healthcare Provider Details

I. General information

NPI: 1659737203
Provider Name (Legal Business Name): ADWA HOME CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2016
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 N 9TH ST FL 1
PHILADELPHIA PA
19107-1832
US

IV. Provider business mailing address

209 N 9TH ST FL 1
PHILADELPHIA PA
19107-1832
US

V. Phone/Fax

Practice location:
  • Phone: 215-592-8848
  • Fax:
Mailing address:
  • Phone: 215-592-8848
  • Fax: 215-627-2402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number25213601
License Number StatePA

VIII. Authorized Official

Name: BENJAMIN DIEP CHAN CHOI
Title or Position: CEO
Credential:
Phone: 215-592-8848