MEDICARE: HOME HEALTH CARE PLUS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	253Z00000X	In Home Supportive Care Agency
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	385H00000X	Respite Care
4	343900000X	Non-emergency Medical Transport (VAN)	PA
5	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1831438449
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HEALTH CARE PLUS, LLC

Provider Business Mailing Address
First Line	:	6011 MARKET ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19139-3024
Country	:	US
Telephone Number	:	215-474-2273
Fax Number	:	215-474-2277

Provider Business Practice Location Address
First Line	:	6011 MARKET ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19139-3024
Country	:	US
Telephone Number	:	215-474-2273
Fax Number	:	215-474-2277

Authorized Official
Title or Position	:	CHIEF OPERATIONS OFFICER
Name	:	MS. DESTINY S SMALLWOOD
Credential	:
Telephone Number	:	215-474-2273

Provider Enumeration Date	:	02/04/2013
Last Update Date	:	07/21/2022

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