MEDICARE: IN HOME PROGRAM, 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	758805	PA
2	251E00000X	Home Health Agency	397588	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720081680
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IN HOME PROGRAM, INC.

Provider Business Mailing Address
First Line	:	739 N. 24TH STREET
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19130
Country	:	US
Telephone Number	:	215-232-4357
Fax Number	:	215-763-0708

Provider Business Practice Location Address
First Line	:	739 N. 24TH STREET
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19130
Country	:	US
Telephone Number	:	215-232-4357
Fax Number	:	215-763-0708

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID HATOOKA
Credential	:
Telephone Number	:	215-378-4122

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	08/01/2024

Similar Medicare Providers

1013847581 — KAREN EMILY ORZECHOWSKI MD
Practice Location Address:

1412 FAIRMOUNT AVE
PHILADELPHIA, PA
19130-2908

Practice Phone: 215-235-9100
Practice Fax: 215-684-5360

1528752243 — TAYLOR GRACE MCEVOY BEHAVIOR TECHNICIAN
Practice Location Address:

1822 SPRING GARDEN ST
PHILADELPHIA, PA
19130-4122

Practice Phone: 215-607-6835
Practice Fax:

1659208478 — JARED JOSEPH GEIGER
Practice Location Address:

1714 FAIRMOUNT AVE
PHILADELPHIA, PA
19130-2812

Practice Phone: 267-606-6923
Practice Fax:

1912652041 — ALYSSA FAYE BLUNK SLP
Practice Location Address:

440 N BROAD ST
PHILADELPHIA, PA
19130-4090

Practice Phone: 215-400-4000
Practice Fax:

1740286871 — MID ATLANTIC REHABILITATION SERVICES
Practice Location Address:

743 N 24TH ST
PHILADELPHIA, PA
19130-2539

Practice Phone: 215-763-3992
Practice Fax: 215-235-1588

1073511242 — FAIRMOUNT PHARMACY INC
Practice Location Address:

1900 GREEN ST
PHILADELPHIA, PA
19130-3207

Practice Phone: 215-567-0364
Practice Fax: 215-567-1931

Directions to “IN HOME PROGRAM, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.