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Provider Demographic Information - LADY OF FATIMA HEALTH SERVICES

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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	LADY OF FATIMA HEALTH SERVICES
Address:	1335 W TABOR RD STE 303 PHILADELPHIA, PA 19141-3041
Phone:	(215) 558-2580
Fax:	(215) 558-2585
E-mail:	fatimahomecare@gmail.com
Web Site:	N/A

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PROVIDER CERTIFICATION INFORMATION Supporting line for group header

Click here to view Provider Certification Information

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PROVIDER'S PARENT/ REGIONAL OFFICE Supporting line for group header

No parent or regional addresses are listed for this provider.

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PROVIDER SERVICES AND RATES Supporting line for group header


County : Bucks
\|Service Name / Level	\|Rate

Companion Services (Level 2)	$7.71 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$12.30 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$12.30 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$20.13 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$20.13 / 15 min.
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD	$491.89 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE	$491.89 / 1 Day
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD	$805.07 / 1 Day
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE	$805.07 / 1 Day

County : Chester
\|Service Name / Level	\|Rate

Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$12.30 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$12.30 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$20.13 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$20.13 / 15 min.
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD	$491.89 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE	$491.89 / 1 Day
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD	$805.07 / 1 Day
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE	$805.07 / 1 Day

County : Delaware
\|Service Name / Level	\|Rate

Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$12.30 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$12.30 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$20.13 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$20.13 / 15 min.
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD	$491.89 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE	$491.89 / 1 Day
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD	$805.07 / 1 Day
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE	$805.07 / 1 Day

County : Montgomery
\|Service Name / Level	\|Rate

Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$12.30 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$12.30 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$20.13 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$20.13 / 15 min.
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD	$491.89 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE	$491.89 / 1 Day
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD	$805.07 / 1 Day
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE	$805.07 / 1 Day

County : Philadelphia
\|Service Name / Level	\|Rate

Companion Services (Basic Staff Support)	$3.19 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
Res Hab-1 Person-NG 1-Elig	$523.00 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,118.74 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$822.23 / 1 Day
Res Hab-2 Person-NG 1-Elig	$523.00 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-Lic-1 Person-Inelig	$99.10 / 1 Day
Res Hab-Lic-2 Person-Inelig	$54.05 / 1 Day
Respite-Unlic- 15-min (Basic 1:4)	$2.26 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$12.30 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$12.30 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$12.30 / 15 min.
Respite-Unlic-15-min(Level 1, 1:3) In-Home	$2.98 / 15 min.
Respite-Unlic-15-min(Level 2, 1:2)In-Home	$4.40 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$7.95 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TD	$20.13 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enh) - TE	$20.13 / 15 min.
Respite-Unlic-15-min(Level 4, 2:1 Enhanced)	$20.13 / 15 min.
Respite-Unlic-15-min(Lvl 4, 2:1) In-Home	$15.77 / 15 min.
Respite-Unlic-Day (Basic 1:4) In-Home	$90.59 / 1 Day
Respite-Unlic-Day (Level 1, 1:3) In-Home	$119.11 / 1 Day
Respite-Unlic-Day (Level 2, 1:2) In-Home	$176.17 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home	$491.89 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD	$491.89 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE	$491.89 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) In-Home	$317.80 / 1 Day
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TD	$805.07 / 1 Day
Respite-Unlic-Day (Level 4, 2:1 Enh) In-Home - TE	$805.07 / 1 Day
Respite-Unlic-Day (Level 4, 2:1 Enhcd) In-Home	$805.07 / 1 Day
Respite-Unlic-Day (Level 4, 2:1) In-Home	$630.98 / 1 Day

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