MEDICARE: CARING WITH INTEGRITY HOME CARE

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	:	1083264691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING WITH INTEGRITY HOME CARE

Provider Business Mailing Address
First Line	:	7175 OGONTZ AVE STE B
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19138-2045
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7175 OGONTZ AVE STE B
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19138-2045
Country	:	US
Telephone Number	:	215-941-8181
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MAUD-SHELA LOUIS
Credential	:
Telephone Number	:	215-941-8181

Provider Enumeration Date	:	09/16/2019
Last Update Date	:	09/16/2019

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