Healthcare Provider Details

I. General information

NPI: 1831609965
Provider Name (Legal Business Name): TPCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2017
Last Update Date: 10/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 MEADE ST STE 203
DUNMORE PA
18512-3197
US

IV. Provider business mailing address

1000 MEADE ST STE 203
DUNMORE PA
18512-3197
US

V. Phone/Fax

Practice location:
  • Phone: 570-880-7903
  • Fax: 570-880-7904
Mailing address:
  • Phone: 570-880-7903
  • Fax: 570-880-7904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
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: MR. PETER TOMASI
Title or Position: PRESIDENT
Credential:
Phone: 570-880-7903