Healthcare Provider Details

I. General information

NPI: 1982508107
Provider Name (Legal Business Name): ENGAGE AS YOU AGE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 UPLAND AVE STE 200
UPLAND PA
19015-2456
US

IV. Provider business mailing address

601 UPLAND AVE STE 200
UPLAND PA
19015-2456
US

V. Phone/Fax

Practice location:
  • Phone: 267-506-0184
  • Fax:
Mailing address:
  • Phone: 267-506-0184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. KENISHA NEMBHARD
Title or Position: OWNER
Credential:
Phone: 267-506-0184