Healthcare Provider Details

I. General information

NPI: 1710842257
Provider Name (Legal Business Name): HEALTH 1 ENTERPRICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6316 FARNSWORTH ST
PHILADELPHIA PA
19149-2937
US

IV. Provider business mailing address

6316 FARNSWORTH ST
PHILADELPHIA PA
19149-2937
US

V. Phone/Fax

Practice location:
  • Phone: 888-651-3854
  • Fax:
Mailing address:
  • Phone: 888-651-3854
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: KIRAN KIRAN
Title or Position: OWNER
Credential:
Phone: 888-651-3854