MEDICARE: MILAN HOME CARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1063368108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILAN HOME CARE SERVICES

Provider Business Mailing Address
First Line	:	7255 RISING SUN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-3926
Country	:	US
Telephone Number	:	267-307-3838
Fax Number	:

Provider Business Practice Location Address
First Line	:	7255 RISING SUN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-3926
Country	:	US
Telephone Number	:	267-307-3838
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LONI MEDINA
Credential	:
Telephone Number	:	267-307-3838

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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