Provider Demographics
NPI:1194315259
Name:RECOVERY HOME HEALTHCARE LLC RHHC
Entity type:Organization
Organization Name:RECOVERY HOME HEALTHCARE LLC RHHC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS & COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:JRATEH
Authorized Official - Suffix:
Authorized Official - Credentials:LSW, CPRS
Authorized Official - Phone:484-454-5329
Mailing Address - Street 1:8600 W CHESTER PIKE STE 105
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-2629
Mailing Address - Country:US
Mailing Address - Phone:484-454-5329
Mailing Address - Fax:484-454-5462
Practice Address - Street 1:8600 W CHESTER PIKE STE 105
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-2629
Practice Address - Country:US
Practice Address - Phone:484-454-5329
Practice Address - Fax:484-454-5462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-22
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103846190Medicaid