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IMMACULATE HOME HEALTHCARE AGENCY LLC NPI 1942605019


NPI Information

NPI: 1942605019
Provider Name: IMMACULATE HOME HEALTHCARE AGENCY LLC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
79 GRIDIRON RD
LEVITTOWN, PA
ZIP 19057
Phone: (610) 809-5385
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IMMACULATE HOME HEALTHCARE AGENCY LLC is an in home supportive care in Levittown, PA. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. IMMACULATE HOME HEALTHCARE AGENCY LLC NPI is 1942605019. The provider is registered as an organization entity type.

The provider's business location address is:

79 GRIDIRON RD
LEVITTOWN, PA
ZIP 19057-809
Phone: (610) 809-5385

The provider's authorized official is Shomari Dekermu Weedor .
The authorized official title is Owner and has the following contact phone number (610) 809-5385.

The enumeration date for this NPI number is 10/30/2014 and was last updated on 6/23/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome Health26083601PENNSYLVANIANo
2253Z00000XIn Home Supportive Care26083601PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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