=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124385737
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THERE4U, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/19/2012
-----------------------------------------------------
Last Update Date | 04/19/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 225 S 18TH ST SUITE 628
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19103-6141
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-585-6666
-----------------------------------------------------
Fax | 610-590-0459
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 225 S 18TH ST SUITE 628
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19103-6141
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-585-6666
-----------------------------------------------------
Fax | 610-590-0459
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/MANAGER
-----------------------------------------------------
Name | MS. SCARLETT BARSKY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 610-585-6666
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251J00000X
-----------------------------------------------------
Taxonomy Name | Nursing Care Agency
-----------------------------------------------------
License Number | 22713601
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 347E00000X
-----------------------------------------------------
Taxonomy Name | Transportation Broker
-----------------------------------------------------
License Number | 22713601
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------