Provider Demographics
NPI:1063807741
Name:SILVER HEART HEALTHCARE AGENCY LLC
Entity type:Organization
Organization Name:SILVER HEART HEALTHCARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIMONIQUE
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-292-9155
Mailing Address - Street 1:5201 N 15TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-1601
Mailing Address - Country:US
Mailing Address - Phone:215-284-2767
Mailing Address - Fax:
Practice Address - Street 1:2407 N PATTON ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19132-3330
Practice Address - Country:US
Practice Address - Phone:215-284-2767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-31
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health