MEDICARE: ONE UNITED FAMILY HOME CARE 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

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	:	1477228096
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE UNITED FAMILY HOME CARE LLC

Provider Business Mailing Address
First Line	:	2441 N 29TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19132-3021
Country	:	US
Telephone Number	:	215-500-2300
Fax Number	:	215-500-2301

Provider Business Practice Location Address
First Line	:	2441 N 29TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19132-3021
Country	:	US
Telephone Number	:	215-908-5286
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RENEE PAYTON
Credential	:
Telephone Number	:	215-908-5286

Provider Enumeration Date	:	08/16/2021
Last Update Date	:	08/16/2021

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Directions to “ONE UNITED FAMILY HOME CARE LLC ” Practice Location

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