MEDICARE: NURSES AT HEART

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	155809386	PA

General Provider Information

NPI Number	:	1891125985
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURSES AT HEART

Provider Business Mailing Address
First Line	:	3502 SCOTTS LN
Second Line	:	SUITE 2121 I
City	:	PHILADELPHIA
State	:	PA
Zip	:	19129-1561
Country	:	US
Telephone Number	:	856-473-5394
Fax Number	:	323-800-2485

Provider Business Practice Location Address
First Line	:	3502 SCOTTS LN
Second Line	:	SUITE 2121 I
City	:	PHILADELPHIA
State	:	PA
Zip	:	19129-1561
Country	:	US
Telephone Number	:	856-473-5394
Fax Number	:	323-800-2485

Authorized Official
Title or Position	:	OWNER/HEALTHCARE PROVIDER
Name	:	MS. GEOANTE POPE
Credential	:	NURSING
Telephone Number	:	856-473-5394

Provider Enumeration Date	:	11/26/2013
Last Update Date	:	11/26/2013

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