MEDICARE: HUTSON HEART HOMECARE

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
2	332U00000X	Home Delivered Meals

General Provider Information

NPI Number	:	1518814144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUTSON HEART HOMECARE

Provider Business Mailing Address
First Line	:	2323 MEMPHIS ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19143
Country	:	US
Telephone Number	:	445-233-1647
Fax Number	:

Provider Business Practice Location Address
First Line	:	2323 MEMPHIS ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19143
Country	:	US
Telephone Number	:	445-233-1647
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHAMIA HUTSON
Credential	:
Telephone Number	:	445-233-1647

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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