MEDICARE: AD HOMECARE SERVICES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	251E00000X	Home Health Agency
3	251G00000X	Community Based Hospice Care Agency
4	251T00000X	PACE Provider Organization
5	374U00000X	Home Health Aide
6	376J00000X	Homemaker
7	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1902631823
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AD HOMECARE SERVICES LLC

Provider Business Mailing Address
First Line	:	309 SANFORD RD
Second Line	:
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-4716
Country	:	US
Telephone Number	:	302-444-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	309 SANFORD RD
Second Line	:
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-4716
Country	:	US
Telephone Number	:	267-939-0940
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	PHYLLIS N MWAURA
Credential	:
Telephone Number	:	302-444-7000

Provider Enumeration Date	:	09/03/2024
Last Update Date	:	09/03/2024

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