Healthcare Provider Details

I. General information

NPI: 1619398369
Provider Name (Legal Business Name): ATTENTIVE HOSPICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/25/2013
Last Update Date: 12/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 RACE ST 3A
PHILADELPHIA PA
19107-1805
US

IV. Provider business mailing address

911 RACE ST 3A
PHILADELPHIA PA
19107-1805
US

V. Phone/Fax

Practice location:
  • Phone: 215-385-2778
  • Fax: 215-627-2402
Mailing address:
  • Phone: 215-385-2778
  • Fax: 215-627-2402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. SHUPING HOU
Title or Position: PRESIDENT
Credential:
Phone: 215-385-2778