Provider Demographics
NPI:1134080716
Name:MODEL HEALTHCARE INC
Entity type:Organization
Organization Name:MODEL HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHIGOZIE
Authorized Official - Middle Name:
Authorized Official - Last Name:AMAEFUNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-335-5264
Mailing Address - Street 1:101 LINDENWOOD DR STE 225
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-1762
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:144 ABBIGAIL XING
Practice Address - Street 2:
Practice Address - City:TOWNSEND
Practice Address - State:DE
Practice Address - Zip Code:19734
Practice Address - Country:US
Practice Address - Phone:267-335-5264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-21
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty