=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144827429
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SIGMA HOME HEALTHCARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/08/2020
-----------------------------------------------------
Last Update Date | 10/07/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3501 NEWBERRY RD
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19154-2608
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-233-1443
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3501 NEWBERRY RD
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19154-2608
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-478-8700
-----------------------------------------------------
Fax | 215-501-7476
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHAIRMAN
-----------------------------------------------------
Name | MOHAMMAD S. MALIK
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 609-233-1443
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------