MEDICARE: TWENTY FIRST CENTURY 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1477316206
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TWENTY FIRST CENTURY LLC

Provider Business Mailing Address
First Line	:	633 W RITTENHOUSE ST APT A626
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19144-4311
Country	:	US
Telephone Number	:	215-519-7558
Fax Number	:

Provider Business Practice Location Address
First Line	:	633 W RITTENHOUSE ST APT A626
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19144-4311
Country	:	US
Telephone Number	:	215-519-7558
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LULIT TADESSE
Credential	:
Telephone Number	:	215-519-7558

Provider Enumeration Date	:	02/05/2024
Last Update Date	:	01/12/2026

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Directions to “TWENTY FIRST CENTURY LLC ” Practice Location

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