Organization
HOME HEALTH AGENCY- PHILADELPHIA, LLC
Active
Other names
OMNI Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1605 N CEDAR CREST BLVD STE 408, ALLENTOWN, PA 18104-2323
(610) 432-7100
(610) 432-7171
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10372523800001
—
PA
Enumeration date
11/18/2010
Last updated
07/14/2020
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