Healthcare Provider Details

I. General information

NPI: 1831438449
Provider Name (Legal Business Name): HOME HEALTH CARE PLUS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2013
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6011 MARKET ST
PHILADELPHIA PA
19139-3024
US

IV. Provider business mailing address

6011 MARKET ST
PHILADELPHIA PA
19139-3024
US

V. Phone/Fax

Practice location:
  • Phone: 215-474-2273
  • Fax: 215-474-2277
Mailing address:
  • Phone: 215-474-2273
  • Fax: 215-474-2277

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. DESTINY S SMALLWOOD
Title or Position: CHIEF OPERATIONS OFFICER
Credential:
Phone: 215-474-2273