Back 2 Healthy Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BACK 2 HEALTHY HOME CARE LLC

Practice address

5320 W Stiles St
Philadelphia, PA 19131-4312

Phone

(267) 752-0950

NPI assigned

Dec 18, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Treva Harris

Title

President

Phone

(267) 752-0950

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1952997488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 W STILES ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191314312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 W STILES ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191314312",
            "telephone_number": "267-752-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK 2 HEALTHY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TREVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-752-0950"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel John Bachovin Jr., PA-C, MS
• Nicole Marie Bachovin, PA-C
• Patricia Y Bachstein
• Jill Morgan Bachurski, M.S., CCC-SLP
• Bradley M Bacik, D.O.
• Back Office Management Services LLC
• Back Strategies, Inc
• Amanda Back, MS, CGC
• O'Shane J Back
• Susan J Back, M.D.

• All providers in Philadelphia, PA
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.