Personal Care Home C&G

LBN: Personal Care Home C&G
Personal Care Home C&G is an health care organization with primary practice located at 6176 Newtown Ave , Philadelphia PA 19111. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Personal Care Home C&G can be contacted via phone (267) 235-7138, or through Davis, Danielle via phone (267) 235-7138.

Contact Information

Primary practice address
6176 Newtown Ave Philadelphia PA 19111
Phone: (267) 235-7138
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davis, Danielle Master of Arts (MA)
Phone: (267) 235-7138

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X 724086 Pennsylvania

Profile Details

NPI number 1952841041
LBN Legal business name Personal Care Home C&G
DBA Doing business as
Authorized official Davis, Danielle Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2017
Last updated Mar 8th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952841041 NPPES
Pennsylvania MEDICAID 724086

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