Organization · NPI-2

540 Home Care LLC

In Home Supportive Care · Philadelphia, PA

NPI number1083579411
StatusActive
Last updated in NPPESDec 18, 2025

Details

NPI
1083579411
Entity type
Organization (NPI-2)
Legal business name
540 Home Care LLC
Organization subpart
No
Enumeration date
Dec 18, 2025
Certification date
Dec 18, 2025
Last updated
Dec 18, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
251E00000X Home Health––

Practice location

540 Rising Sun Ave
Philadelphia, PA 19140-3353

Phone 215-688-2495

Mailing address

540 Rising Sun Ave
Philadelphia, PA 19140-3353

Phone 215-688-2495

Authorized official

Jose Cruz
President
2156882495

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other In Home Supportive Care providers in Philadelphia, PA