Kooma Home Health LLC
Organization Active NPI Home Health Agency · Bath, PA
NPI 1487166559 · NPPES record last updated Jan 11, 2023
Key facts
- NPI
- 1487166559
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- KOOMA HOME HEALTH LLC
- Practice address
- 107 E Main St Ste 202B
Bath, PA 18014-1519 - Phone
- (610) 365-2383
- Fax
- (610) 365-2383
- NPI assigned
- Oct 30, 2017
- Organization subpart
- No
Authorized official
- Name
- Vedwattie D Kooma
- Title
- Owner
- Phone
- (210) 875-3394
Practitioners 1
National Provider Directory
Locations
107 E Main St
Bath, PA 18014
107 E Main St
Ste 202B
Bath, PA 18014
Phone (610) 365-2383
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
107 E Main St Ste 202B
Bath, PA 18014-1519
Mailing address
107 E Main St Ste 202B
Bath, PA 18014-1519
Phone (610) 365-2383
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- Jeremy T Kushner
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All providers in Bath, PA · Home Health Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.