Provider Demographics
NPI:1962152983
Name:SUPERIOR HOMECARE OF PHILLY INC.
Entity type:Organization
Organization Name:SUPERIOR HOMECARE OF PHILLY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RABINOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-260-3558
Mailing Address - Street 1:251 E 5TH ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-2496
Mailing Address - Country:US
Mailing Address - Phone:299-260-3558
Mailing Address - Fax:347-710-1969
Practice Address - Street 1:630 FREEDOM BUSINESS CTR DR STE 314
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-0201
Practice Address - Country:US
Practice Address - Phone:929-260-3558
Practice Address - Fax:347-710-1969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health