1578521043 NPI number — HOME HEALTHCARE RESOURCES INC

Table of content: (NPI 1578521043)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578521043 NPI number — HOME HEALTHCARE RESOURCES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOME HEALTHCARE RESOURCES 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:
HOME HEALTHCARE RESOURCES INC
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:
1578521043
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/06/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 416187
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOSTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02241-6187
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
901-381-7170
Provider Business Mailing Address Fax Number:
901-261-6924

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
800 CLARMONT AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BENSALEM
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19020-5705
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-245-1888
Provider Business Practice Location Address Fax Number:
215-245-9038
Provider Enumeration Date:
05/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PERINI
Authorized Official First Name:
VICTOR
Authorized Official Middle Name:
Authorized Official Title or Position:
ASSISTANT SECRETARY
Authorized Official Telephone Number:
901-381-7466

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: PP413944L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3336H0001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336S0011X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 003138197 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 09150235 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3395430 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 432501000 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6029631 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: DM1261 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0554782000 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0729574 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0944287 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200847390A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2395430 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02044168 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1578521043 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3954307 . This is a "NCPDP PROVIDER IDENTIFICATION NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4395430 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 807528300 , issued by the state of ( ID ) . This identifiers is of the category "MEDICAID".
  • Identifier: PH155PA , issued by the state of ( AK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0000467807 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0000468216 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1395430 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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