Organization
PRIMARY HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GILL DNP, CRNP (CCO)
(215) 635-3151
Entity
Organization
Contact information
Practice address
8118 OLD YORK RD, SUITE D, ELKINS PARK, PA 19027-1423
(215) 635-3151
(215) 635-3165
Mailing address
8118 OLD YORK RD, SUITE D, ELKINS PARK, PA 19027-1423
(215) 635-3151
(215) 635-3165
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018226880010
—
PA
05
—
101916277 0001
—
PA
Enumeration date
05/22/2006
Last updated
02/15/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us