| Sunrise Human Care Services Inc | |
|
2050 W Chester Pike Fl 1 Havertown PA 19083-2744 | |
| (267) 718-5022 | |
| (215) 997-2282 |
| Full Name | Sunrise Human Care Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2050 W Chester Pike Fl 1, Havertown, Pennsylvania |
| Authorized Official Name and Position | Jan Montgomery (BILLING/CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2159972000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Human Care Services Inc Po Box 454 Montgomeryville PA 18936-0454 Ph: (267) 718-5022 | Sunrise Human Care Services Inc 2050 W Chester Pike Fl 1 Havertown PA 19083-2744 Ph: (267) 718-5022 |
| NPI Number | 1366213597 |
|---|---|
| Provider Enumeration Date | 01/16/2024 |
| Last Update Date | 01/16/2024 |
| Certification Date | 01/16/2024 |
| Medicare PECOS PAC ID | 9032642954 |
|---|---|
| Medicare Enrollment ID | O20241031000681 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366213597 | NPI | - | NPPES |
| Provider Name | Pratibha Kamble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437455854 PECOS PAC ID: 0345696563 Enrollment ID: I20231025000164 |
| Provider Name | Farah Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639325442 PECOS PAC ID: 3476697715 Enrollment ID: I20240715003915 |
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