1710354402 NPI number — EMERALD SENIOR SERVICES D/B/A IN HOME HEALTH CARE FOR ELDERLY

Table of content: (NPI 1710354402)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710354402 NPI number — EMERALD SENIOR SERVICES D/B/A IN HOME HEALTH CARE FOR ELDERLY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EMERALD SENIOR SERVICES D/B/A IN HOME HEALTH CARE FOR ELDERLY
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:
EMERALD SENIOR SERVICES
Provider Other Organization Name Type Code:
5
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:
1710354402
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/28/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
532 N SPRING ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MIDDLETOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17057-1947
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-944-4712
Provider Business Mailing Address Fax Number:
717-944-4527

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
532 N SPRING ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIDDLETOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17057-1947
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-944-4712
Provider Business Practice Location Address Fax Number:
717-944-4527
Provider Enumeration Date:
08/28/2015

Additional Information

Authorized Official

Authorized Official Last Name:
KOLARIC
Authorized Official First Name:
JESSICA
Authorized Official Middle Name:
Authorized Official Title or Position:
ASSISTANT DIRECTOR OF SERVICES
Authorized Official Telephone Number:
717-944-4712

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  15403601 , 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)





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