MEDICARE: H & J HOME CARE, INC

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	:	1568046324
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H & J HOME CARE, INC

Provider Business Mailing Address
First Line	:	6930 BUSTLETON AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19149-1805
Country	:	US
Telephone Number	:	267-207-1688
Fax Number	:

Provider Business Practice Location Address
First Line	:	6930 BUSTLETON AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19149-1805
Country	:	US
Telephone Number	:	215-268-8388
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF HOME CARE SERVICES
Name	:	MR. JOHN K LEE
Credential	:	RN
Telephone Number	:	215-820-8366

Provider Enumeration Date	:	05/07/2021
Last Update Date	:	02/03/2024

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Directions to “H & J HOME CARE, INC ” Practice Location

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