MEDICARE: ATTENTIVE CARE SERVICE AGENCY, 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	3306301	PA
2	385H00000X	Respite Care	33063601	PA
3	251E00000X	Home Health Agency	3306301	PA

General Provider Information

NPI Number	:	1588104988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATTENTIVE CARE SERVICE AGENCY, INC.

Provider Business Mailing Address
First Line	:	5070 PARKSIDE AVE STE 1421
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19131-4748
Country	:	US
Telephone Number	:	215-477-2100
Fax Number	:	215-477-2300

Provider Business Practice Location Address
First Line	:	5721 ARCH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19139-2419
Country	:	US
Telephone Number	:	215-477-2100
Fax Number	:	215-477-2300

Authorized Official
Title or Position	:	CEO
Name	:	MS. WAKILA SALEEM
Credential	:	RN
Telephone Number	:	404-449-4956

Provider Enumeration Date	:	03/03/2017
Last Update Date	:	01/02/2026

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