MEDICARE: UMAR PABON CEO

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	3747A0650X	Attendant Care Provider	89103601	PA
2	374U00000X	Home Health Aide	89103601	PA
3	3747P1801X	Personal Care Attendant	89103601	PA

General Provider Information

NPI Number	:	1659224244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UMAR PABON CEO

Provider Business Mailing Address
First Line	:	1242 NAPFLE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-2745
Country	:	US
Telephone Number	:	237-367-2322
Fax Number	:	949-325-3329

Provider Business Practice Location Address
First Line	:	1242 NAPFLE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-2745
Country	:	US
Telephone Number	:	267-367-2322
Fax Number	:	949-325-3329

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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Directions to “ UMAR PABON CEO” Practice Location

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