MEDICARE: TIME AND PATIENCE AT HOME CARE 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	:	1578342648
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TIME AND PATIENCE AT HOME CARE LLC

Provider Business Mailing Address
First Line	:	4042 O ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19124-5305
Country	:	US
Telephone Number	:	267-528-7947
Fax Number	:

Provider Business Practice Location Address
First Line	:	4042 O ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19124-5305
Country	:	US
Telephone Number	:	267-528-7947
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	IONEY VASSELL SIRECI
Credential	:
Telephone Number	:	267-469-4290

Provider Enumeration Date	:	09/27/2023
Last Update Date	:	09/27/2023

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