Provider Demographics
NPI:1972338978
Name:TENACIOUS HOME CARE
Entity type:Organization
Organization Name:TENACIOUS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PORSHA
Authorized Official - Middle Name:A
Authorized Official - Last Name:RONE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:267-591-4249
Mailing Address - Street 1:3625 OLD YORK RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19140-4229
Mailing Address - Country:US
Mailing Address - Phone:267-591-4249
Mailing Address - Fax:
Practice Address - Street 1:3625 OLD YORK RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140-4229
Practice Address - Country:US
Practice Address - Phone:267-591-4249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-07
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health