MEDICARE: GOC HOME HEALTH CARE SERVICES 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	:	1700549847
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOC HOME HEALTH CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	PO BOX 14226
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19138
Country	:	US
Telephone Number	:	914-473-1518
Fax Number	:	215-355-3522

Provider Business Practice Location Address
First Line	:	5801 CHEW AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19138-1727
Country	:	US
Telephone Number	:	914-473-1518
Fax Number	:	215-355-3522

Authorized Official
Title or Position	:	VICE PRESIDENT/ALT ADMIN
Name	:	UZOAMAKA ANAKWE
Credential	:
Telephone Number	:	914-473-1518

Provider Enumeration Date	:	10/15/2021
Last Update Date	:	10/15/2021

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