Healthcare Provider Details

I. General information

NPI: 1124316443
Provider Name (Legal Business Name): CARING HOME SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2011
Last Update Date: 12/04/2024
Certification Date: 12/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 MARCHWOOD RD STE 2K
EXTON PA
19341-1837
US

IV. Provider business mailing address

47 MARCHWOOD RD STE 2K
EXTON PA
19341-1837
US

V. Phone/Fax

Practice location:
  • Phone: 215-589-7442
  • Fax:
Mailing address:
  • Phone: 215-589-7442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number04720501
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1028907650001
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name: MICHAEL JOSEPH MCDEVITT
Title or Position: CHAIRMAN
Credential:
Phone: 610-241-2685