Healthcare Provider Details

I. General information

NPI: 1033116082
Provider Name (Legal Business Name): ARN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2005
Last Update Date: 07/18/2022
Certification Date: 07/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 E. BROAD ST. SUITE C
HAZLETON PA
18201-5695
US

IV. Provider business mailing address

1710 E. BROAD ST. SUITE C
HAZLETON PA
18201-5695
US

V. Phone/Fax

Practice location:
  • Phone: 570-459-3004
  • Fax: 570-459-3009
Mailing address:
  • Phone: 570-459-3004
  • Fax: 570-459-3009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VII. Legacy identifiers

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

# 1
Identifier0016830830001
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name: MARIO IEZZONI
Title or Position: CFO VP
Credential: CPA
Phone: 570-459-3004