MEDICARE: QUALITY HOME HEALTHCARE AGENCY 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	:	1740127166
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY HOME HEALTHCARE AGENCY LLC

Provider Business Mailing Address
First Line	:	1725 HOFFNAGLE ST APT 203
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19152-2324
Country	:	US
Telephone Number	:	267-562-3891
Fax Number	:

Provider Business Practice Location Address
First Line	:	1725 HOFFNAGLE ST APT 203
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19152-2324
Country	:	US
Telephone Number	:	267-563-3891
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	AUGUSTINE EWAH
Credential	:
Telephone Number	:	215-789-5401

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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