1801290812 NPI number — ALL HANDS HOME CARE, LLC

Table of content: (NPI 1801290812)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801290812 NPI number — ALL HANDS HOME CARE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALL HANDS HOME CARE, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801290812
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/20/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1300 MARKET ST
Provider Second Line Business Mailing Address:
SUITE 5
Provider Business Mailing Address City Name:
LEMOYNE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17043-1420
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-737-7905
Provider Business Mailing Address Fax Number:
717-737-7908

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1300 MARKET ST
Provider Second Line Business Practice Location Address:
SUITE 5
Provider Business Practice Location Address City Name:
LEMOYNE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17043-1420
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-737-7905
Provider Business Practice Location Address Fax Number:
717-737-7908
Provider Enumeration Date:
10/20/2014

Additional Information

Authorized Official

Authorized Official Last Name:
JOHNSON
Authorized Official First Name:
ALIYAH
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF EXECUTIVE OFFICER
Authorized Official Telephone Number:
717-737-7905

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X , with the licence number:  25953601 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 253Z00000X , with the licence number: 25953601 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 25953601 . This is a "HOME CARE AGENCY LICENSING NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 049916227 . This is a "DUNS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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