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CREDENCE HOME CARE AGENCY INC NPI 1750611323


NPI Information

NPI: 1750611323
Provider Name: CREDENCE HOME CARE AGENCY, INC

Former Legal Business Name: CREDENCE HOME CARE AGENCY INC

Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
1415 N BROAD ST STE 118
PHILADELPHIA, PA
ZIP 19122
Phone: (215) 764-5529
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CREDENCE HOME CARE AGENCY, INC is an in home supportive care in Philadelphia, 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. CREDENCE HOME CARE AGENCY, INC NPI is 1750611323. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Credence Home Care Agency Inc.

The provider's business location address is:

1415 N BROAD ST STE 118
PHILADELPHIA, PA
ZIP 19122-324
Phone: (215) 764-5529
Fax: (215) 825-8406

The provider's authorized official is Cajetan Onuoha .
The authorized official title is Administrator and has the following contact phone number (215) 764-5529.

The enumeration date for this NPI number is 1/5/2010 and was last updated on 6/16/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0600XClinic/CenterAdult Day Care315964PENNSYLVANIANo
2374U00000XHome Health Aide31213601PENNSYLVANIANo
3253Z00000XIn Home Supportive Care31213601PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1102499867MEDICAIDPENNSYLVANIA

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: 4/28/2024

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