Healthcare Provider Details

I. General information

NPI: 1801432943
Provider Name (Legal Business Name): URBANCARE HOME CARE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2019
Last Update Date: 05/20/2020
Certification Date: 05/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 W LEHIGH AVE
PHILADELPHIA PA
19133-3856
US

IV. Provider business mailing address

171 W LEHIGH AVE
PHILADELPHIA PA
19133-3856
US

V. Phone/Fax

Practice location:
  • Phone: 267-265-1139
  • Fax:
Mailing address:
  • Phone: 267-585-0212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: UDAY GOHEL
Title or Position: PRESIDENT
Credential:
Phone: 267-585-0212