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Personal Care Home C&g, Inc
Adult Care Home Facility in Philadelphia, Pennsylvania
NPI 1003356452

Personal Care Home C&g, Inc is an Adult Care Home Facility based in Philadelphia, PA and is specialized in Adult Care Home. Personal Care Home C&g, Inc practices in Philadelphia, PA. The NPI Number for Personal Care Home C&g, Inc is 1003356452 and holds a License No. (Pennsylvania).

The current practice location address for Personal Care Home C&g, Inc is 4104 N 5Th St, Philadelphia, PA and can be reached out via phone at 215-223-0200.

Location: 4104 N 5Th St, Philadelphia, PA, 19111-5928
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003356452
Provider Name
Personal Care Home C&g, Inc
Credential
Provider Entity Type
Organization
Address
4104 N 5Th St, Philadelphia, PA, 19111-5928
Phone Number
215-223-0200
Fax Number
Provider Enumeration Date
03/05/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1038419160001 05 PA
institution
Provider Business Practice Location Address Details
Address
4104 N 5Th St
City
Philadelphia
State
Pennsylvania
Zip
19140-2614
Phone Number
215-223-0200
Fax Number
person
Provider Business Mailing Address Details
Address
4104 N 5Th St
City
Philadelphia
State
Pennsylvania
Zip
19140-2614
Phone Number
215-223-0200
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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