Provider Demographics
NPI:1215629423
Name:REIS LIFE HOME CARE, INC.
Entity type:Organization
Organization Name:REIS LIFE HOME CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHPIGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-653-8902
Mailing Address - Street 1:4711 WELLINGTON ST STE B
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19135-1320
Mailing Address - Country:US
Mailing Address - Phone:215-653-8902
Mailing Address - Fax:215-653-8902
Practice Address - Street 1:4711 WELLINGTON ST STE B
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19135-1320
Practice Address - Country:US
Practice Address - Phone:215-653-8902
Practice Address - Fax:215-653-8902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-24
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health