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NPI 1063923209

NPI 1063923209 : JNH HOMECARE : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1063923209
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    Entity Type          |    Organization 
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    Legal Business Name  |    JNH HOMECARE 
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Dates
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    Enumeration Date     |    10/16/2017
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    Last Update Date     |    08/27/2025
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Provider Practice Location Address
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    Address Line         |    7302 OGONTZ AVE 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19138-1306
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    Country              |    US
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    Telephone            |    215-660-4484
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    Fax                  |    215-484-0800
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Provider Business Mailing Address
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    Address Line         |    7302 OGONTZ AVE 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19138-1306
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT/CEO
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    Name                 |     NICOLE  DAVIS 
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    Credential           |    
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    Telephone            |    267-221-3091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    32693601
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    License Number State |    PA
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