RESTORER HOME HEALTH SERVICES LLC
NPI 1508382557
Home Health in Philadelphia, PA

Active since August 21, 2017CLIA 39D2273412 · Waiver
10065 SANDMEYER LN STE 301, PHILADELPHIA, PA 19116(267) 343-8505(267) 343-7976 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 2, 2022, Mar 11, 2022, Mar 3, 2022 and 2 more (5 updates tracked since 2017).

About Restorer Home Health Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RESTORER HOME HEALTH SERVICES LLC (NPI 1508382557) is a healthcare organization registered as a home health in Philadelphia, Pennsylvania and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through December 12, 2026 and lists Wale Davis, Administrator/owner, as its authorized official.

NPPES Registry Identity

NPI1508382557
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameRESTORER HOME HEALTH SERVICES LLC
Location Address10065 SANDMEYER LN STE 301Philadelphia, PA 19116-3528
Mailing Address10065 Sandmeyer Ln Ste 301Philadelphia, PA 19116-3528 · (267) 343-8505 · Fax (267) 343-7976
Fax(267) 343-7976
Organization SubpartNo
Authorized OfficialWale DavisAdministrator/owner · (267) 343-8505
Enumeration DateAugust 21, 2017
Last NPPES UpdateNovember 2, 20225 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
NPI 1508382557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Also ListedIn Home Supportive CareTaxonomy 253Z00000X
10065 SANDMEYER LN STE 301, Philadelphia, PA 19116

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D2273412
Facility Type
Home Health Agency
Certificate Effective Date
December 13, 2024
Certificate Expiration Date
December 12, 2026
Laboratory Director
FAITH NWACHUKWU
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Restorer Home Health Services Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508382557, enumerated as an "organization" on August 21, 2017.

The provider is located at 10065 SANDMEYER LN STE 301 PHILADELPHIA, PA 19116 and the phone number is (267) 343-8505.

Home Health with taxonomy code 251E00000X.