1811970643 NPI number — J & A MEDICAL HOME CARE INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811970643 NPI number — J & A MEDICAL HOME CARE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
J & A MEDICAL HOME CARE INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MEDICAL HOME CARE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811970643
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/04/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10 N BACTON HILL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MALVERN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19355-1006
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-687-6585
Provider Business Mailing Address Fax Number:
610-687-5123

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10 N BACTON HILL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MALVERN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19355-1006
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-687-6585
Provider Business Practice Location Address Fax Number:
610-687-5123
Provider Enumeration Date:
11/25/2005

Additional Information

Authorized Official

Authorized Official Last Name:
VOEHRINGER
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
E
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
610-687-6585

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  PP481192 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0235470001 . This is a "PROVIDER ID" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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