OrganizationActive
Distinctive Homecare LLC
NPI 1013530443 · General Practice Registered Nurse · Philadelphia, PA
Provider details
- NPI number
- 1013530443
- Entity type
- Organization
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Authorized official
- Benjamin Degraft Koomson, President
Mailing address
9444 Kirkwood Rd
Philadelphia, PA 19114-2606
Registry dates
- Enumerated
- 2020-05-20
- Last updated
- 2020-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.