# PROFESSIONAL HOME HEALTH SERVICES, INC

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

## Provider details

- **NPI number:** 1700871506
- **Authorized official:** MR. ANTHONY P ANGELO (VICE PRESIDENT-COMPLIANCE)
- **Authorized official phone:** (610) 205-2440

## Contact information

- **Practice address:** 2145 S DUPONT HWY, DOVER, DE 19901-5561
- **Practice address phone:** (302) 697-7125
- **Practice address fax:** (302) 697-7257
- **Mailing address:** 620 FREEDOM BUSINESS CTR DR, SUITE 105, KING OF PRUSSIA, PA 19406-1330
- **Mailing address phone:** (610) 205-2440
- **Mailing address fax:** (610) 205-2468

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/19/2005
- **Last updated:** 05/19/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0000045714 | — | DE |
| 05 | — | 0000768314 | — | DE |
| 01 | — | 0004963000 | KEYSTONE HEALTH PLAN EAST | DE |
| 01 | — | 1058 | MIDATLANTIC HEALTH PLAN | DE |
| 01 | — | 157994 | BC/BS OF DELAWARE | DE |
| 01 | — | 2333 | AETNA | DE |
| 05 | — | 236383601 | — | MD |
| 01 | — | 243654 | MAMSI | DE |
| 01 | — | BB82 | CAREFIRST | DE |