DISTINCTIVE HOMECARE LLC NPI 1013530443

NPI Information

NPI: 1013530443
Provider Name: DISTINCTIVE HOMECARE LLC
Classification: Registered Nurse - 163WG0000X
Entity Type: Organization

Specialization: General Practice

Address:
9444 KIRKWOOD RD
PHILADELPHIA, PA
ZIP 19114
Phone: (267) 815-7307
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DISTINCTIVE HOMECARE LLC is a general practice registered nurse in Philadelphia, PA. DISTINCTIVE HOMECARE LLC NPI is 1013530443. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9444 KIRKWOOD RD
PHILADELPHIA, PA
ZIP 19114-606
Phone: (267) 815-7307

The provider's authorized official is Benjamin Degraft Koomson .
The authorized official title is President and has the following contact phone number (267) 815-7307.

The enumeration date for this NPI number is 5/20/2020 and was last updated on 5/20/2020.

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
1	163WG0000X	Registered Nurse	General Practice			Yes

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: 11/14/2023

NPI Synchronization or Removal

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