Provider Demographics
NPI:1285496018
Name:CENTURY HOME CARE LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:CENTURY HOME CARE LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BON
Authorized Official - Middle Name:
Authorized Official - Last Name:HENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-226-9099
Mailing Address - Street 1:2615 S 69TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19142-2111
Mailing Address - Country:US
Mailing Address - Phone:267-226-9099
Mailing Address - Fax:
Practice Address - Street 1:2317 S 7TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19148-3811
Practice Address - Country:US
Practice Address - Phone:215-334-1238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health