MEDICARE: PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S

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	712505	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992746366
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S

Provider Business Mailing Address
First Line	:	150 MONUMENT RD
Second Line	:	SUITE 300
City	:	BALA CYNWYD
State	:	PA
Zip	:	19004-1725
Country	:	US
Telephone Number	:	610-747-3400
Fax Number	:	610-747-3479

Provider Business Practice Location Address
First Line	:	150 MONUMENT RD
Second Line	:	SUITE 300
City	:	BALA CYNWYD
State	:	PA
Zip	:	19004-1725
Country	:	US
Telephone Number	:	610-747-3400
Fax Number	:	610-747-3479

Authorized Official
Title or Position	:	CFO PENN HOME CARE & HOSPICE
Name	:	MR. JAMES WEINSTEIN
Credential	:
Telephone Number	:	610-747-3400

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	04/07/2023

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