Healthcare Provider Details

I. General information

NPI: 1154294098
Provider Name (Legal Business Name): CAREGIVERS AT HOME-HOME CARE AGENCY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2025
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 S POPLAR ST STE 6
HAZLETON PA
18201-7707
US

IV. Provider business mailing address

601 S POPLAR ST STE 6
HAZLETON PA
18201-7707
US

V. Phone/Fax

Practice location:
  • Phone: 570-535-8780
  • Fax: 570-535-8274
Mailing address:
  • Phone: 570-535-8780
  • Fax: 570-535-8274

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. VLADIMIR CEDANIO
Title or Position: CEO
Credential:
Phone: 570-579-3990