Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Provisional 2 Preferred Living 4 Ever 62 Inc

Organization In Home Supportive Care Agency · NPI 1457242463

Provisional 2 Preferred Living 4 Ever 62 Inc is an In Home Supportive Care Agency in Philadelphia, Pennsylvania. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3300 Henry Ave Apt 210
Philadelphia, PA 19129-1151
Phone: (267) 235-1839
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X

Record details

NPI number1457242463
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nina Baker — Owner/Operator · (267) 235-1839
Other names Homewell Care Services Pa 295
NPI enumeratedJuly 9, 2025
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing address711 Arnold St, Phila, PA 19111-1326

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