Organization · NPI-2

21st Century Home Care

In Home Supportive Care · Philadelphia, PA

NPI number1366309486
StatusActive
Last updated in NPPESJan 12, 2026

Details

NPI
1366309486
Entity type
Organization (NPI-2)
Legal business name
21st Century Home Care
Organization subpart
No
Enumeration date
Jan 9, 2026
Certification date
Jan 12, 2026
Last updated
Jan 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

633 W Rittenhouse St Apt A626
Philadelphia, PA 19144-4311

Phone 215-519-7558

Mailing address

633 W Rittenhouse St Apt A626
Philadelphia, PA 19144-4311

Phone 215-519-7558

Authorized official

Lulit Tadesse
Entity
2155197558

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