MEDICARE: SILVERCARE HOME CARE SERVICE

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		PA

General Provider Information

NPI Number	:	1760935217
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILVERCARE HOME CARE SERVICE

Provider Business Mailing Address
First Line	:	6787 MARKET ST STE 104
Second Line	:
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-1848
Country	:	US
Telephone Number	:	201-813-9430
Fax Number	:	610-743-8222

Provider Business Practice Location Address
First Line	:	6787 MARKET ST STE 104
Second Line	:
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-1848
Country	:	US
Telephone Number	:	610-352-8000
Fax Number	:	610-886-4158

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	XIAOBIN LI
Credential	:	M.D.
Telephone Number	:	610-352-8000

Provider Enumeration Date	:	08/02/2016
Last Update Date	:	03/24/2020

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