Healthcare Provider Details

I. General information

NPI: 1912469776
Provider Name (Legal Business Name): 247 HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2019
Last Update Date: 04/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1706 N 2ND ST
PHILADELPHIA PA
19122-3110
US

IV. Provider business mailing address

1706 N 2ND ST
PHILADELPHIA PA
19122-3110
US

V. Phone/Fax

Practice location:
  • Phone: 215-291-4383
  • Fax: 215-291-9316
Mailing address:
  • Phone: 215-291-4383
  • Fax: 215-291-9316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. BRITTANY GORING
Title or Position: CEO
Credential:
Phone: 215-238-4383