Provider Demographics
NPI:1427865385
Name:TATA HOMECARE SERVICES LLC
Entity type:Organization
Organization Name:TATA HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KADIATOU
Authorized Official - Middle Name:
Authorized Official - Last Name:KEITA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-474-1292
Mailing Address - Street 1:133 HEATHER RD STE 205
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-3009
Mailing Address - Country:US
Mailing Address - Phone:610-943-5456
Mailing Address - Fax:610-871-4638
Practice Address - Street 1:133 HEATHER RD STE 205
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-3009
Practice Address - Country:US
Practice Address - Phone:610-943-5456
Practice Address - Fax:610-871-4638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-14
Last Update Date:2024-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care