Provider Demographics
NPI:1548865629
Name:A PILLAR OF STRENGTH HOME HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:A PILLAR OF STRENGTH HOME HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODMAN THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LSW
Authorized Official - Phone:267-997-6759
Mailing Address - Street 1:4 COTTONWOOD CT
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19444-2325
Mailing Address - Country:US
Mailing Address - Phone:267-997-6759
Mailing Address - Fax:
Practice Address - Street 1:4 COTTONWOOD CT
Practice Address - Street 2:
Practice Address - City:LAFAYETTE HILL
Practice Address - State:PA
Practice Address - Zip Code:19444-2325
Practice Address - Country:US
Practice Address - Phone:267-997-6759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-04
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care