Healthcare Provider Details

I. General information

NPI: 1629345079
Provider Name (Legal Business Name): MEDICAL HOME HEALTH OPTIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2011
Last Update Date: 11/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

649 SECOND STREET PIKE SUITE E
SOUTHAMPTON PA
18966-3996
US

IV. Provider business mailing address

649 SECOND STREET PIKE SUITE E
SOUTHAMPTON PA
18966-3996
US

V. Phone/Fax

Practice location:
  • Phone: 215-364-4911
  • Fax:
Mailing address:
  • Phone: 215-364-4911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARIA D MIDDLEBERG
Title or Position: PRESIDENT
Credential:
Phone: 215-450-9365