Healthcare Provider Details

I. General information

NPI: 1477728889
Provider Name (Legal Business Name): BINTY NURSES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2008
Last Update Date: 06/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

747 N 63RD ST
PHILADELPHIA PA
19151-3804
US

IV. Provider business mailing address

747 N 63RD ST
PHILADELPHIA PA
19151-3804
US

V. Phone/Fax

Practice location:
  • Phone: 484-469-4692
  • Fax: 484-469-4694
Mailing address:
  • Phone: 484-469-4692
  • Fax: 484-469-4694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number9904407
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN593005
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberCER-00082144
License Number StatePA
# 5
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License NumberCER-00082144
License Number StatePA

VIII. Authorized Official

Name: MR. MOHAMED DEEN YANSANE
Title or Position: ADMINISTRATOR
Credential:
Phone: 484-469-4692