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NPI 1205710852

NPI 1205710852 : SAFEHEART HOMECARE SOLUTIONS LLC : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1205710852
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAFEHEART HOMECARE SOLUTIONS LLC 
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Dates
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    Enumeration Date     |    08/05/2025
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    Last Update Date     |    08/05/2025
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Provider Practice Location Address
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    Address Line         |    97 E DUVAL ST 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19144-1921
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    Country              |    US
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    Telephone            |    484-350-5311
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    97 E DUVAL ST 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19144-1921
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    Country              |    US
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    Telephone            |    484-350-5311
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MS. JUANITA  COOPER 
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    Credential           |    RN, MSN, PMHNP-BC
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    Telephone            |    484-350-5311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174200000X
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    Taxonomy Name        |    Meals Provider
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    251T00000X
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    Taxonomy Name        |    PACE Provider Organization
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    251C00000X
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    Taxonomy Name        |    Developmentally Disabled Services Day Training Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    332U00000X
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    Taxonomy Name        |    Home Delivered Meals
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    251J00000X
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    Taxonomy Name        |    Nursing Care Agency
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    License Number       |    
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    License Number State |    
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