Healthcare Provider Details
I. General information
NPI: 1528404092
Provider Name (Legal Business Name): RM HOME SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/10/2013
Last Update Date: 05/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
781 ROUTE 113
SOUDERTON PA
18964-1000
US
IV. Provider business mailing address
3250 STATE RD
SELLERSVILLE PA
18960-1624
US
V. Phone/Fax
- Phone: 215-723-1906
- Fax:
- Phone: 215-257-2751
- Fax: 215-257-7390
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | 15203601 |
| License Number State | PA |
VIII. Authorized Official
Name: MR.
STEVE
BREIDIGAN
Title or Position: CHIEF FINANCIAL OFFICER
Credential: CPA
Phone: 215-257-2751