Organization
AMERIBEST HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OMAR KHANATAEV (CEO)
(215) 925-3313
Entity
Organization
Contact information
Practice address
990 SPRING GARDEN ST STE 201, PHILADELPHIA, PA 19123-2606
(215) 925-3313
(215) 925-3828
Mailing address
926-928 RACE ST, SUITE 2A, PHILADELPHIA, PA 19107-2437
(215) 925-3313
(215) 925-3828
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
02970501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021790530001
—
PA
01
—
398064
BRAVO HEALTH
PA
Enumeration date
02/19/2009
Last updated
01/17/2020
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