B & S Home Care LLC
Organization Active NPI Home Health Agency · Philadelphia, PA
NPI 1861979064 · NPPES record last updated Jul 20, 2018
Key facts
- NPI
- 1861979064
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 36113601 (PA)
- Legal business name
- B & S HOME CARE LLC
- Practice address
- 2132 Ridge Ave # 1
Philadelphia, PA 19121-2937 - Phone
- (215) 763-0401
- NPI assigned
- Jul 20, 2018
- Organization subpart
- No
Authorized official
- Name
- Shenika Lee
- Title
- Owner
- Phone
- (215) 763-0401
National Provider Directory
Locations
2132 Ridge Ave
#1
Philadelphia, PA 19121
Phone (215) 763-0401
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 36113601 | PA | Yes |
Addresses
Primary practice location
2132 Ridge Ave # 1
Philadelphia, PA 19121-2937
Mailing address
2132 Ridge Ave # 1
Philadelphia, PA 19121-2937
Phone (215) 763-0401
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103503033 | Medicaid | PA |
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All providers in Philadelphia, 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 Jul 20, 2018. 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.