MEDICARE: TAAJ RESIDENTIAL SERVICES LLC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1932049467
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAAJ RESIDENTIAL SERVICES LLC

Provider Business Mailing Address
First Line	:	6621 HOLLIS ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19138-1925
Country	:	US
Telephone Number	:	215-200-8282
Fax Number	:

Provider Business Practice Location Address
First Line	:	3180 GRANT AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-2541
Country	:	US
Telephone Number	:	215-200-8282
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	DR. MALIKA B MUHAMMAD
Credential	:	PHD, MSW
Telephone Number	:	215-200-8282

Provider Enumeration Date	:	04/01/2026
Last Update Date	:	04/01/2026

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