Healthcare Provider Details

I. General information

NPI: 1215522248
Provider Name (Legal Business Name): ELDERS COME FIRST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2021
Last Update Date: 08/27/2022
Certification Date: 08/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5826 PENTRIDGE ST
PHILADELPHIA PA
19143-4532
US

IV. Provider business mailing address

5826 PENTRIDGE ST
PHILADELPHIA PA
19143-4532
US

V. Phone/Fax

Practice location:
  • Phone: 484-761-4495
  • Fax:
Mailing address:
  • Phone: 484-561-7327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care 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 Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANGELA SHIELDS
Title or Position: CEO
Credential:
Phone: 484-561-7327