MEDICARE: TOP RATE 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1366107138
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOP RATE HOME CARE

Provider Business Mailing Address
First Line	:	1039 WAGNER AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19141-2927
Country	:	US
Telephone Number	:	267-596-5857
Fax Number	:

Provider Business Practice Location Address
First Line	:	1039 WAGNER AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19141-2927
Country	:	US
Telephone Number	:	267-596-5857
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARCUS D JONES
Credential	:
Telephone Number	:	267-596-5857

Provider Enumeration Date	:	11/05/2021
Last Update Date	:	11/05/2021

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