Provider Demographics
NPI:1730730102
Name:INSTASUPPORT HOME CARE AGENCY
Entity type:Organization
Organization Name:INSTASUPPORT HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-423-1826
Mailing Address - Street 1:3601 B ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19134-1005
Mailing Address - Country:US
Mailing Address - Phone:215-739-2273
Mailing Address - Fax:215-739-2275
Practice Address - Street 1:3601 B ST UNIT B
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-1005
Practice Address - Country:US
Practice Address - Phone:215-739-2273
Practice Address - Fax:215-739-2275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-26
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health