MEDICARE: HOME INSTEAD SENIOR CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	0019736640001	PA

General Provider Information

NPI Number	:	1568466092
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME INSTEAD SENIOR CARE

Provider Business Mailing Address
First Line	:	216 N RIVER ST
Second Line	:	STE 340
City	:	WILKES BARRE
State	:	PA
Zip	:	18702-2523
Country	:	US
Telephone Number	:	570-714-4260
Fax Number	:	570-208-7952

Provider Business Practice Location Address
First Line	:	216 N RIVER ST
Second Line	:	STE 340
City	:	WILKES BARRE
State	:	PA
Zip	:	18702-2523
Country	:	US
Telephone Number	:	570-714-4260
Fax Number	:	570-208-7952

Authorized Official
Title or Position	:	STAFF COORDINATOR
Name	:	MS. SHEILA ANN DANOWSKI
Credential	:
Telephone Number	:	570-714-4260

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	08/22/2020

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