Healthcare Provider Details

I. General information

NPI: 1053573089
Provider Name (Legal Business Name): CHESTER COUNTY HOME CARE ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2008
Last Update Date: 07/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

557 EXTON CMNS
EXTON PA
19341-2453
US

IV. Provider business mailing address

557 EXTON CMNS
EXTON PA
19341-2453
US

V. Phone/Fax

Practice location:
  • Phone: 610-280-3540
  • Fax: 610-280-3542
Mailing address:
  • Phone: 610-280-3540
  • Fax: 610-280-3542

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: MRS. TERESA ANN SMITH
Title or Position: DIRECTOR
Credential: OTR
Phone: 610-280-3540