Healthcare Provider Details

I. General information

NPI: 1861793572
Provider Name (Legal Business Name): EAGLE HELPERS IN-HOME HEALTH CARE SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2010
Last Update Date: 12/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 BRITTANY DR
CHALFONT PA
18914-2331
US

IV. Provider business mailing address

104 BRITTANY DR
CHALFONT PA
18914-2331
US

V. Phone/Fax

Practice location:
  • Phone: 215-822-5502
  • Fax: 215-822-5866
Mailing address:
  • Phone: 215-822-5502
  • Fax: 215-822-5866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number21463601
License Number StatePA

VIII. Authorized Official

Name: MRS. AVIS BOBB
Title or Position: PRESIDENT
Credential:
Phone: 215-822-5502