Organization
EMINENCE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL SHAFIR (ADMINISTRATOR)
(917) 805-0702
Entity
Organization
Contact information
Practice address
32541 CHESTNUT ST, #800, PHILADELPHIA, PA 19038
(347) 645-3969
Mailing address
1000 GATES AVE STE 4, BROOKLYN, NY 11221-6296
(917) 805-0702
(718) 280-1050
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37393601
HOME CARE AGENCY LICENSE
PA
Enumeration date
05/10/2018
Last updated
07/14/2020
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