David Goldenberg
Individual provider Active NPI Homemaker · Eagleville, PA
NPI 1952702003 · NPPES record last updated Sep 9, 2014
Key facts
- NPI
- 1952702003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- License
- 26063601 (PA)
- Practice address
- 3120 Ridge Pike
Eagleville, PA 19403-5705 - Phone
- (610) 674-6860
- NPI assigned
- Sep 9, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26063601 | PA | MD | Adult Companion |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant at Home Care | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | 26063601 | PA | |
| Homemaker | 376J00000X | 26063601 | PA | Yes |
Addresses
Primary practice location
3120 Ridge Pike
Eagleville, PA 19403-5705
Mailing address
3120 Ridge Pike
Eagleville, PA 19403-5705
Other providers in Eagleville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2014. 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.