MEDICARE: HABIB HOMECARE LLC

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	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1255282869
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HABIB HOMECARE LLC

Provider Business Mailing Address
First Line	:	3601 B ST UNIT B
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19134-1005
Country	:	US
Telephone Number	:	215-783-0909
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 B ST UNIT B
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19134-1005
Country	:	US
Telephone Number	:	215-783-0909
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HUSSEIN ALI HAYARI
Credential	:
Telephone Number	:	215-783-0909

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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