Healthcare Provider Details

I. General information

NPI: 1407171762
Provider Name (Legal Business Name): LIMITLESS HOMECARE PROVIDERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2010
Last Update Date: 09/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5726 N 5TH ST
PHILADELPHIA PA
19120-2308
US

IV. Provider business mailing address

5726 N 5TH ST
PHILADELPHIA PA
19120-2308
US

V. Phone/Fax

Practice location:
  • Phone: 215-381-2432
  • Fax: 215-381-2434
Mailing address:
  • Phone: 215-381-2432
  • Fax: 215-381-2434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS STEPHANIE MICHELLE JOYNER
Title or Position: CEO
Credential:
Phone: 215-837-3304