Healthcare Provider Details

I. General information

NPI: 1568046324
Provider Name (Legal Business Name): H & J HOME CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2021
Last Update Date: 02/03/2024
Certification Date: 02/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6930 BUSTLETON AVE
PHILADELPHIA PA
19149-1805
US

IV. Provider business mailing address

6930 BUSTLETON AVE
PHILADELPHIA PA
19149-1805
US

V. Phone/Fax

Practice location:
  • Phone: 215-268-8388
  • Fax:
Mailing address:
  • Phone: 267-207-1688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN K LEE
Title or Position: DIRECTOR OF HOME CARE SERVICES
Credential: RN
Phone: 215-820-8366