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NPI 1245055615

NPI 1245055615 : AFFORDABLE PERSONAL CARE HOMES LLC : CHESTER, PA

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General NPI Number Information
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    NPI Number           |    1245055615
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    Entity Type          |    Organization 
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    Legal Business Name  |    AFFORDABLE PERSONAL CARE HOMES LLC 
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Dates
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    Enumeration Date     |    11/20/2024
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    Last Update Date     |    11/20/2024
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Provider Practice Location Address
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    Address Line         |    318 E 9TH ST 
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    City                 |    CHESTER
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    State                |    PA
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    Zip                  |    19013-5940
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    Country              |    US
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    Telephone            |    267-237-3472
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    Fax                  |    484-450-4979
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Provider Business Mailing Address
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    Address Line         |    2000 S LARRY ST 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19142-1142
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    Country              |    US
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    Telephone            |    267-237-3472
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    Fax                  |    484-450-4979
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Authorized Official
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    Title or Position    |    OWNER/VICE PRESIDENT
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    Name                 |     SYLVIA  KABBA 
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    Credential           |    
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    Telephone            |    267-237-3472
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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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        |    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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