Provider Demographics
NPI:1417368697
Name:ALL AMERICAN HOME CARE LLC
Entity type:Organization
Organization Name:ALL AMERICAN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SPIVAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-494-9902
Mailing Address - Street 1:1 INTERPLEX DR STE 104A
Mailing Address - Street 2:
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-6953
Mailing Address - Country:US
Mailing Address - Phone:215-494-9902
Mailing Address - Fax:215-494-9905
Practice Address - Street 1:3231 N 2ND ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140-5853
Practice Address - Country:US
Practice Address - Phone:215-494-9902
Practice Address - Fax:215-494-9905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-09
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health