MEDICARE: NADISA 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	:	1275365256
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NADISA CARE

Provider Business Mailing Address
First Line	:	6031 RISING SUN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-6008
Country	:	US
Telephone Number	:	215-259-8655
Fax Number	:

Provider Business Practice Location Address
First Line	:	6031 RISING SUN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-6008
Country	:	US
Telephone Number	:	215-259-8655
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ALLEN NGUYEN
Credential	:
Telephone Number	:	215-259-8655

Provider Enumeration Date	:	08/17/2024
Last Update Date	:	08/17/2024

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Directions to “NADISA CARE ” Practice Location

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