Organization
KREATIVE HEARTS HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHENAI WOODS-PERSON (CEO)
(267) 909-5510
Entity
Organization
Contact information
Practice address
1621 RIDGE AVE., 1ST FLOOR, PHILADELPHIA, PA 19130
(267) 909-5510
(267) 930-7587
Mailing address
1621 RIDGE AVE., 1ST FLOOR, PHILADELPHIA, PA 19130
(267) 909-5510
(267) 930-7587
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103624941-0001
—
PA
Enumeration date
08/03/2020
Last updated
02/14/2024
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