CCN: 398201 NPI: 1144569849 Organization

FIDELITY HOME HEALTH LLC

139 BUSTLETON PIKE
FEASTERVILLE TREVOSE, PA 190536467

Contact Information

Phone 2157100515
Fax 2157100258
Enumeration Date 2013-01-31
Last Updated 2019-11-26

Taxonomies

Code: 251E00000X (Primary) License State: PA License: 04880501

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 33874

providerType 36

specialPaymentIndicator

carrierCode 12502

localityCode 01