Provider Demographics
NPI:1881583219
Name:BEWELL HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:BEWELL HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DENIS
Authorized Official - Middle Name:
Authorized Official - Last Name:AMERKHANOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-258-3396
Mailing Address - Street 1:975 2ND STREET PIKE STE B
Mailing Address - Street 2:
Mailing Address - City:RICHBORO
Mailing Address - State:PA
Mailing Address - Zip Code:18954-1554
Mailing Address - Country:US
Mailing Address - Phone:267-258-3396
Mailing Address - Fax:215-613-7594
Practice Address - Street 1:975 2ND STREET PIKE STE B
Practice Address - Street 2:
Practice Address - City:RICHBORO
Practice Address - State:PA
Practice Address - Zip Code:18954-1554
Practice Address - Country:US
Practice Address - Phone:267-258-3396
Practice Address - Fax:215-613-7594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No253Z00000XAgenciesIn Home Supportive Care