MEDICARE: CARE FOR ME HOME HEALTH SERVICES 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

General Provider Information

NPI Number	:	1497221717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE FOR ME HOME HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	2630 W CHELTENHAM AVE FL 1
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19150-1311
Country	:	US
Telephone Number	:	215-341-2353
Fax Number	:	215-621-6393

Provider Business Practice Location Address
First Line	:	2630 W CHELTENHAM AVE FL 1
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19150-1311
Country	:	US
Telephone Number	:	215-341-2353
Fax Number	:	215-621-6393

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DANIELLE CHRISTINE DARDEN
Credential	:
Telephone Number	:	215-341-1020

Provider Enumeration Date	:	10/15/2018
Last Update Date	:	07/09/2020

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