Healthcare Provider Details

I. General information

NPI: 1801736343
Provider Name (Legal Business Name): PERFORM HOME HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 JAMES WAY STE 120
SOUTHAMPTON PA
18966-3847
US

IV. Provider business mailing address

95 JAMES WAY STE 120
SOUTHAMPTON PA
18966-3847
US

V. Phone/Fax

Practice location:
  • Phone: 215-526-4703
  • Fax: 267-780-7608
Mailing address:
  • Phone: 215-526-4703
  • Fax: 267-780-7608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: EVAN LESSA
Title or Position: OWNER
Credential: PHARMD
Phone: 215-526-4703