Healthcare Provider Details

I. General information

NPI: 1104462985
Provider Name (Legal Business Name): BETTER LIFE HOME CARE GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2019
Last Update Date: 11/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 SHERBROOK BLVD
UPPER DARBY PA
19082-4606
US

IV. Provider business mailing address

233 SHERBROOK BLVD
UPPER DARBY PA
19082-4606
US

V. Phone/Fax

Practice location:
  • Phone: 267-368-2950
  • Fax: 484-206-3057
Mailing address:
  • Phone: 267-368-2950
  • Fax: 484-206-3057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: YONA K ASSAH
Title or Position: ADMINISTRATOR
Credential: MBA
Phone: 267-368-2950