Healthcare Provider Details

I. General information

NPI: 1982609806
Provider Name (Legal Business Name): ANEW HOME HEALTH AGENCY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 02/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9344 ROUTE 286 HWY E
CLYMER PA
15728-7310
US

IV. Provider business mailing address

9344 ROUTE 286 HWY E PO BOX 193
CLYMER PA
15728-7310
US

V. Phone/Fax

Practice location:
  • Phone: 724-465-9224
  • Fax: 724-465-9228
Mailing address:
  • Phone: 724-465-9224
  • Fax: 724-465-9228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number77640501
License Number StatePA

VIII. Authorized Official

Name: MRS. KELLY L. HOWELLS
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 724-465-9224