MEDICARE: AMERICAN DREAM CAREGIVERS SKILLED 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	:	1568391639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN DREAM CAREGIVERS SKILLED LLC

Provider Business Mailing Address
First Line	:	733 RED LION RD STE A
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19115-1321
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	733 RED LION RD STE A
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19115-1321
Country	:	US
Telephone Number	:	215-219-1538
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	JAMES PUKHKIY
Credential	:
Telephone Number	:	215-219-1538

Provider Enumeration Date	:	05/15/2026
Last Update Date	:	05/15/2026

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