MEDICARE: WILLACARE, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251G00000X	Community Based Hospice Care Agency
2	253Z00000X	In Home Supportive Care Agency
3	372500000X	Chore Provider
4	372600000X	Adult Companion
5	376J00000X	Homemaker
6	376K00000X	Nurse's Aide
7	385H00000X	Respite Care
8	374U00000X	Home Health Aide

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124640727
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLACARE, LLC

Provider Business Mailing Address
First Line	:	PO BOX 1141
Second Line	:
City	:	BALA CYNWYD
State	:	PA
Zip	:	19004-5141
Country	:	US
Telephone Number	:	610-624-9222
Fax Number	:	610-664-3373

Provider Business Practice Location Address
First Line	:	520 PRESCOTT RD
Second Line	:
City	:	MERION STATION
State	:	PA
Zip	:	19066-1041
Country	:	US
Telephone Number	:	610-624-9222
Fax Number	:	610-664-3373

Authorized Official
Title or Position	:	CEO
Name	:	JOEL ADLER
Credential	:
Telephone Number	:	610-624-9222

Provider Enumeration Date	:	05/18/2020
Last Update Date	:	05/18/2020

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Directions to “WILLACARE, LLC ” Practice Location

Language	Start Address	Practice Location

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