MEDICARE: HOME CARE OF PHILADELPHIA 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	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1710469242
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME CARE OF PHILADELPHIA INC

Provider Business Mailing Address
First Line	:	7148 FRANKFORD AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19135-1018
Country	:	US
Telephone Number	:	215-941-7370
Fax Number	:	215-318-0220

Provider Business Practice Location Address
First Line	:	7148 FRANKFORD AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19135-1018
Country	:	US
Telephone Number	:	215-941-7370
Fax Number	:	215-318-0220

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. REJNALDO GJOGU
Credential	:
Telephone Number	:	215-941-7370

Provider Enumeration Date	:	08/31/2018
Last Update Date	:	09/03/2024

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Directions to “HOME CARE OF PHILADELPHIA INC ” Practice Location

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