Healthcare Provider Details

I. General information

NPI: 1720523897
Provider Name (Legal Business Name): H&MCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2016
Last Update Date: 12/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4920 BALTIMORE AVE
PHILADELPHIA PA
19143-3301
US

IV. Provider business mailing address

4920 BALTIMORE AVE
PHILADELPHIA PA
19143-3301
US

V. Phone/Fax

Practice location:
  • Phone: 267-969-6871
  • Fax:
Mailing address:
  • Phone: 267-969-6871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number06410501
License Number StatePA

VIII. Authorized Official

Name: MUSA SILLAH
Title or Position: CEO
Credential:
Phone: 267-455-2153