Healthcare Provider Details

I. General information

NPI: 1598810848
Provider Name (Legal Business Name): RP HOME HEALTH ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 10/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 SUMNEYTOWN PIKE SUITE 105
SPRING HOUSE PA
19477-1011
US

IV. Provider business mailing address

909 SUMNEYTOWN PIKE SUITE 105
SPRING HOUSE PA
19477-1011
US

V. Phone/Fax

Practice location:
  • Phone: 215-643-1200
  • Fax: 215-540-0756
Mailing address:
  • Phone: 215-643-1200
  • Fax: 215-540-0756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number719705
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1992779557
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerRIDGAWAY PHILLIPS HOME CA

VIII. Authorized Official

Name: CHERISE JEFFERSON
Title or Position: ACCOUNTS RECEIVABLE ANALYST
Credential:
Phone: 215-643-1200