NPI Code Details Logo

NPI 1487287074

NPI 1487287074 : AT HOME HEALTHCARE LLC : PHILADELPHIA, PA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1487287074
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    AT HOME HEALTHCARE LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/21/2020
-----------------------------------------------------
    Last Update Date     |    11/17/2021
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    8119 FRANKFORD AVE 
-----------------------------------------------------
    City                 |    PHILADELPHIA
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    19136-2757
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    215-337-3433
-----------------------------------------------------
    Fax                  |    215-337-3233
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    9807 MONTOUR ST 
-----------------------------------------------------
    City                 |    PHILADELPHIA
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    19115-2208
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    267-423-2434
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     NAHLA  SALEH 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    267-423-2434
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.