Provider Demographics
NPI:1306878798
Name:ACT HOME HEALTH SERVICES, INC
Entity type:Organization
Organization Name:ACT HOME HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/CFO
Authorized Official - Prefix:
Authorized Official - First Name:MAXIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUI
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:215-708-1191
Mailing Address - Street 1:1121 S 11TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-4601
Mailing Address - Country:US
Mailing Address - Phone:215-389-1800
Mailing Address - Fax:215-389-1899
Practice Address - Street 1:1121 S 11TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147-4601
Practice Address - Country:US
Practice Address - Phone:215-389-1800
Practice Address - Fax:215-389-1899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA02530501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAX0030595-01OtherAMERICHOICE PROVIDER NO.
PA101397666-0003Medicaid
PA36121OtherHEALTH PARTNERS SITE NO.
PA30030869OtherKEYSTONE MERCY HEALTH PLA
PA30030869OtherKEYSTONE MERCY HEALTH PLA