Formosity Support Services LLC
Home Health Aide in Philadelphia, PA. Organization (NPI-2).
NPI number1730938291
StatusActive
Last updated in NPPESAug 6, 2025
Details
- NPI
- 1730938291
- Entity type
- Organization (NPI-2)
- Legal business name
- Formosity Support Services LLC
- Organization subpart
- No
- Enumeration date
- May 16, 2024
- Certification date
- Aug 6, 2025
- Last updated
- Aug 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | |
| 251E00000X | Home Health | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – | |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | |
| 372500000X | Chore Provider | – | – | |
| 372600000X | Adult Companion | – | – | |
| 385H00000X | Respite Care | – | – |
Practice location
7000 Reedland StPhiladelphia, PA 19142-1716
Phone 267-243-0198
Mailing address
7000 Reedland StPhiladelphia, PA 19142-1716
Phone 267-243-0198
Authorized official
Salimatou Diallo
Owner
2154302317
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