Safe Harbor 2 Home Care Agency, LLC (NPI# 1265054977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1265054977 |
| Entity Type | Organization |
| Organization Name | SAFE HARBOR 2 HOME CARE AGENCY, LLC |
| Practice Address |
2418 N 15th St Philadelphia PA 19132-4435 |
| Practice Telephone | 2154303032 |
| Mailing Address |
2418 N 15th St Philadelphia PA 19132-4435 |
| Mailing Telephone | 2154303032 |
| Authorized Official Name | Ms. Chiquita Mcgough (OWNER) |
| Authorized Official Telephone | 2154303032 |
| Organization Subpart | No, this organization is not a Subpart |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| State | Identifier | Issuer | Type Code |
|---|---|---|---|
| PA | 1037276080001 | MEDICAID |
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457956963 | Anjanette Nicole Scott | Home Health Aide | 5404 Gainor Rd, Philadelphia, PA 19131-3112 | 2020-12-02 |
| 1417552423 | Shinika Tillman | Home Health Aide | 5608 Arlington St, Philadelphia, PA 19131-3117 | 2020-11-30 |
| 1225639594 | Williamina Lebaga | Home Health Aide | 4032 Markland St, Philadelphia, PA 19124-5330 | 2020-11-03 |
| 1104433994 | Sean A Maddox | Home Health Aide | 6015 N American St, Philadelphia, PA 19120-1807 | 2020-09-25 |
| 1114533528 | Top Notch Home Care LLC | Home Health Aide | 6328 Glenloch St, Philadelphia, PA 19135-3204 | 2020-09-21 |
| 1629689047 | Makia Scott | Home Health Aide | 818 South St Apt 4, Philadelphia, PA 19147-2046 | 2020-08-10 |
| 1528689502 | Gloria Alisa Tankard | Home Health Aide | 1220 Herbert St Fl 2, Philadelphia, PA 19124-2935 | 2020-05-01 |
| 1972132397 | Natasha Tillman | Home Health Aide | 2032 S 6th St, Philadelphia, PA 19148-2437 | 2020-04-07 |
| 1801423140 | Demare Tyson | Home Health Aide | 1601 E Mount Airy Ave Apt 2b, Philadelphia, PA 19150-1142 | 2020-03-25 |
| 1831721539 | Beverley Thomas | Home Health Aide | 6145 Morton St, Philadelphia, PA 19144-1002 | 2020-02-10 |
| Find all providers in PHILADELPHIA | ||||
| Street Address |
2418 N 15TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19132-4435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811511017 | Irene Maria Clark | Social Worker | 3101 N. 29th St., Philadelphia, PA 19132 | 2020-06-03 |
| 1518407519 | Forget Me Knot Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 2321 N Broad Street, Philadelphia, PA 19132 | 2017-02-24 |
| 1609322437 | Shaakira Gillette | Social Worker | 2514 N. Broad St, Philadelphia, PA 19132 | 2016-08-31 |
| 1578017042 | Education Plus, Inc. | Nurse Practitioner | 3217 W. Clearfield Street, Philadelphia, PA 19132 | 2016-08-12 |
| 1972958544 | Rittenhouse Health LLC | Substance Abuse Rehabilitation Facility | 2321 N. Broad St, Philadelphia, PA 19132 | 2016-05-02 |
| 1336593458 | Jamal Vann | Counselor | 2233-43 West Allegheny Avenue, Philadelphia, PA 19132 | 2016-04-14 |
| 1487027132 | Jazzmin Devine | Specialist/Technologist | 200 Prospect St Hemlock 430a, East Stroudsburg University, PA 19132 | 2015-11-03 |
| 1609282508 | Lawrence Petitfrere | Pharmacist | 2801 W Dauphin St, Philadelphia, PA 19132 | 2014-07-11 |
| 1437565157 | Mental Health Partnerships | Voluntary or Charitable | 2709 N. Broad Street, Philadelphia, PA 19132 | 2014-07-02 |
| 1477977346 | Randy Morman | Counselor | 2514 N. Broad Street, 1st Floor, Philadelphia, PA 19132 | 2014-02-12 |
| Find all providers in zip 19132 | ||||
| City | PHILADELPHIA |
| Zip Code | 19132 |
Please comment or provide details below to improve the information on Safe Harbor 2 Home Care Agency, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.