Provider Demographics
NPI:1871278846
Name:CARE PENN INCORPORATED
Entity type:Organization
Organization Name:CARE PENN INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:ULLAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-794-9503
Mailing Address - Street 1:587 BETHLEHEM PIKE # 304
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18936-9741
Mailing Address - Country:US
Mailing Address - Phone:631-552-6665
Mailing Address - Fax:267-996-9355
Practice Address - Street 1:587 BETHLEHEM PIKE # 304
Practice Address - Street 2:
Practice Address - City:MONTGOMERYVILLE
Practice Address - State:PA
Practice Address - Zip Code:18936-9741
Practice Address - Country:US
Practice Address - Phone:267-794-9503
Practice Address - Fax:267-996-9355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-19
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care