Provider Demographics
NPI:1043061815
Name:BEST CARE ONE LLC
Entity type:Organization
Organization Name:BEST CARE ONE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:NYEMAH
Authorized Official - Suffix:
Authorized Official - Credentials:BA PSYCHOLO
Authorized Official - Phone:267-428-9500
Mailing Address - Street 1:2214 S 57TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19143-5705
Mailing Address - Country:US
Mailing Address - Phone:267-428-9500
Mailing Address - Fax:
Practice Address - Street 1:2214 S 57TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19143-5705
Practice Address - Country:US
Practice Address - Phone:267-428-9500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home