Healthcare Provider Details

I. General information

NPI: 1447224597
Provider Name (Legal Business Name): HOLY REDEEMER HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 10/03/2022
Certification Date: 10/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12265 TOWNSEND RD
PHILADELPHIA PA
19154-1201
US

IV. Provider business mailing address

12265 TOWNSEND RD
PHILADELPHIA PA
19154-1201
US

V. Phone/Fax

Practice location:
  • Phone: 800-346-6462
  • Fax: 215-671-9708
Mailing address:
  • Phone: 800-346-6462
  • Fax: 215-671-9708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number151499
License Number StatePA

VIII. Authorized Official

Name: MR. GEORGE W HAMILTON
Title or Position: VP FINANCE
Credential:
Phone: 215-698-3726