PRUDENTIACARE HOME HEALTH SERVICES, LLC (NPI# 1922644145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922644145 |
| Entity Type | Organization |
| Organization Name | PRUDENTIACARE HOME HEALTH SERVICES, LLC |
| Practice Address |
1 International Plz # 517 Philadelphia PA 19113-1510 |
| Practice Telephone | 8889785109 |
| Practice Fax Number | 8889785109 |
| Mailing Telephone | 8889785109 |
| Mailing Fax Number | 8889785109 |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |
| Authorized Official Name | SHAVON PATTERSON (CE0) |
| Authorized Official Telephone | 8889785109 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
1 INTERNATIONAL PLZ # 517 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19113-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487191110 | Shiven Bhardwaj | Pharmacist | 200 Stevens Drive, Philadelphia, PA 19113 | 2017-01-19 |
| 1720587793 | Jenny Cheung | Pharmacist | 200 Stevens Drive, Philadelphia, PA 19113 | 2018-02-06 |
| 1740730845 | Larvar Tamika Edwards | In Home Supportive Care | 1 International Plz Ste 537, Philadelphia, PA 19113-1510 | 2016-10-12 |
| 1861517096 | Lawrence Joseph Guzzardi | Emergency Medicine | 1 International Plz, Suite 550, Philadelphia, PA 19113-1510 | 2007-03-20 |
| 1619507076 | Helix Home Health, LLC | Home Health | 1 International Plz, Philadelphia, PA 19113-1510 | 2020-01-24 |
| 1417308941 | Creative Independent Alliance | Case Management | 1 International Plz, Suite 550, Philadelphia, PA 19113-1510 | 2016-06-27 |
| 1528497013 | Agency Dependent Assistance Management Services Inc. | Durable Medical Equipment & Medical Supplies | 1 International Plz, Suite 550, Philadelphia, PA 19113-1510 | 2013-11-05 |
| 1427367812 | Actera Health Inc. | Home Health | 1 International Plz, Suite 550, Philadelphia, PA 19113-1510 | 2010-10-02 |
| 1508041252 | Childrens Choice Inc | Nursing Care | 2 International Plaza, Suite 325, Philadelphia, PA 19113-1511 | 2007-12-31 |
| 1235612920 | Gerald Michael Bonko | Pharmacy | 200 Stevens Dr, Phila, PA 19113-1520 | 2018-09-10 |
| Find all providers in zip 19113 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280614 | Gold Star Transportation LLC | Non-emergency Medical Transport (VAN) | 2302 E Allegheny Ave, Philadelphia, PA 19134-4401 | 2020-06-24 |
| 1821612367 | Safelift Transportation Services | Non-emergency Medical Transport (VAN) | 440 S 60th St Fl 1, Philadelphia, PA 19143-1147 | 2020-06-01 |
| 1841811585 | Wynn Transit LLC | Non-emergency Medical Transport (VAN) | 4402 Aldine St, Philadelphia, PA 19136-4001 | 2020-05-05 |
| 1699311811 | Om Jai Parvati LLC | Non-emergency Medical Transport (VAN) | 124 W Oxford St, Philadelphia, PA 19122-3916 | 2019-11-22 |
| 1902447816 | Khalid Hassane Abdallah | Non-emergency Medical Transport (VAN) | 6175 Glenmore Ave, Philadelphia, PA 19142-3205 | 2019-10-01 |
| 1487210274 | E-z Ride Home Transportation Services LLC | Non-emergency Medical Transport (VAN) | 6408 N Woodstock St, Philadelphia, PA 19138-3032 | 2019-05-16 |
| 1770046476 | Aero Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1118 Hellerman St, Philadelphia, PA 19111-5414 | 2019-04-09 |
| 1740747641 | Comfort Ride Transit Inc | Non-emergency Medical Transport (VAN) | 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 | 2019-02-27 |
| 1336604024 | Mohamed Keita | Non-emergency Medical Transport (VAN) | 5030 Warrington Avenue, Philadelphia, PA 19143 | 2019-02-06 |
| 1043790744 | Aigner Smith | Non-emergency Medical Transport (VAN) | 5331 Webster St, Philadelphia, PA 19143-2628 | 2018-08-21 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19113 |
Please comment or provide details below to improve the information on PRUDENTIACARE HOME HEALTH SERVICES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.