Healthcare Provider Details
I. General information
NPI: 1407348246
Provider Name (Legal Business Name): CENTRAL PA SENIOR CARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/06/2018
Last Update Date: 03/08/2023
Certification Date: 03/08/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
79 E POMFRET ST
CARLISLE PA
17013-3313
US
IV. Provider business mailing address
79 E POMFRET ST
CARLISLE PA
17013-3313
US
V. Phone/Fax
- Phone: 717-975-0540
- Fax: 717-975-2601
- Phone: 717-975-0540
- Fax: 717-975-2601
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 372600000X |
| Taxonomy | Adult Companion |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
PATTIE
LYNNE
HARPSTER
Title or Position: SENIOR CARE MANAGER
Credential:
Phone: 814-696-9100