Healthcare Provider Details

I. General information

NPI: 1306362710
Provider Name (Legal Business Name): ST LUKES HOMESTAR SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2017
Last Update Date: 09/12/2025
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 S COMMERCE WAY STE 200
BETHLEHEM PA
18017-8891
US

IV. Provider business mailing address

77 S COMMERCE WAY STE 200
BETHLEHEM PA
18017-8891
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-4210
  • Fax:
Mailing address:
  • Phone: 484-526-4210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP481788
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License NumberPP481788
License Number StatePA

VIII. Authorized Official

Name: JOSEPH BORGIONI
Title or Position: ADMINISTRATOR
Credential: RPH
Phone: 484-526-7650