MEDICARE: SPRING OF LIFE HOME CARE

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	:	1841754108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRING OF LIFE HOME CARE

Provider Business Mailing Address
First Line	:	4042 LANCASTER AVE
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19104-1712
Country	:	US
Telephone Number	:	215-251-3761
Fax Number	:

Provider Business Practice Location Address
First Line	:	4042 LANCASTER AVE
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19104-1712
Country	:	US
Telephone Number	:	215-251-3761
Fax Number	:	267-787-5394

Authorized Official
Title or Position	:	OWNER
Name	:	SYREETA GILLIAM
Credential	:
Telephone Number	:	215-251-3761

Provider Enumeration Date	:	01/30/2019
Last Update Date	:	03/07/2024

Similar Medicare Providers

1073543559 — GREGORY BANCROFT D.P.M.
Practice Location Address:

4014 LANCASTER AVE , A
PHILADELPHIA, PA
19104-1712

Practice Phone: 215-222-2225
Practice Fax: 215-222-3070

1225105356 — BELL APOTHECARY, INC.
Practice Location Address:

4014 LANCASTER AVE
PHILADELPHIA, PA
19104-1712

Practice Phone: 215-387-9100
Practice Fax: 215-387-9107

1366591596 — EASY STRIDE PAIN & INJURY CENTER, PC
Practice Location Address:

4014 LANCASTER AVE # A
PHILADELPHIA, PA
19104-1712

Practice Phone: 215-222-2225
Practice Fax: 215-222-3070

1942439401 — TODD SLOWIK D.C.
Practice Location Address:

4006 LANCASTER AVE
PHILADELPHIA, PA
19104-1712

Practice Phone: 215-387-7700
Practice Fax: 215-387-7719

1083046452 — KINGSMOUNT INC
Practice Location Address:

4016 LANCASTER AVE
PHILADELPHIA, PA
19104-1712

Practice Phone: 215-386-7463
Practice Fax:

1306832118 — PHILIP VINCENT SCRIBANO DO
Practice Location Address:

3401 CIVIC CENTER BLVD , CHILDREN'S HOSPITAL OF PHILA - GENERAL PEDIATRICS
PHILADELPHIA, PA
19104-4319

Practice Phone: 215-590-2164
Practice Fax: 215-590-2180

Directions to “SPRING OF LIFE HOME CARE ” 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.