# DEER MEADOWS IN YOUR HOME OUTPATIENT REHAB, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023970134
- **Authorized official:** LISA SOFIA (MEMBER)
- **Authorized official phone:** (267) 549-2532

## Contact information

- **Practice address:** 8301 ROOSEVELT BLVD, PHILADELPHIA, PA 19152-2006
- **Practice address phone:** (215) 589-4296
- **Mailing address:** 8301 ROOSEVELT BLVD, PHILADELPHIA, PA 19152-2006
- **Mailing address phone:** (215) 589-4296

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 251E00000X | Home Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 11/26/2025
- **Last updated:** 11/26/2025