Provider Demographics
NPI:1972915247
Name:OUTSTANDING HOMECARE SOLUTIONS LLC
Entity type:Organization
Organization Name:OUTSTANDING HOMECARE SOLUTIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARSEN
Authorized Official - Middle Name:
Authorized Official - Last Name:USTAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-277-0000
Mailing Address - Street 1:8101 WASHINGTON LN STE 200
Mailing Address - Street 2:
Mailing Address - City:WYNCOTE
Mailing Address - State:PA
Mailing Address - Zip Code:19095-1625
Mailing Address - Country:US
Mailing Address - Phone:215-277-0000
Mailing Address - Fax:215-974-0188
Practice Address - Street 1:8101 WASHINGTON LN STE 200
Practice Address - Street 2:
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095-1625
Practice Address - Country:US
Practice Address - Phone:215-277-0000
Practice Address - Fax:215-974-0188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-21
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA26363601251E00000X
PA618293253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Yes251E00000XAgenciesHome Health