Provider Demographics
NPI:1063426831
Name:NURSING HOME CARE MANAGEMENT INC.,
Entity type:Organization
Organization Name:NURSING HOME CARE MANAGEMENT INC.,
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VOLHA
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLOSEVICH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:215-677-3299
Mailing Address - Street 1:10890 BUSTLETON AVE
Mailing Address - Street 2:STE. 211
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19116-3313
Mailing Address - Country:US
Mailing Address - Phone:215-677-3299
Mailing Address - Fax:215-677-9811
Practice Address - Street 1:10890 BUSTLETON AVE
Practice Address - Street 2:STE. 211
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19116-3313
Practice Address - Country:US
Practice Address - Phone:215-677-3299
Practice Address - Fax:215-677-9811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1000077100006251E00000X
PA397658251E00000X
PA1000077100002251E00000X
PA1000077100011251E00000X
PA1000077100010251E00000X
PA1000077100013251S00000X
PA1000077100001251S00000X
PA1000077100005251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000077100011Medicaid
PA1000077100015Medicaid
PA1000077100010Medicaid
PA1000077100006Medicaid
PA1000077100014Medicaid
PA1000077100012Medicaid
PA1000077100001Medicaid
PA1000077100005Medicaid
PA1000077100002Medicaid
PA1000077100013Medicaid
PA1000077100010Medicaid