Healthcare Provider Details

I. General information

NPI: 1679400907
Provider Name (Legal Business Name): LUZERNE HOMECARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 W BROAD ST STE 410
HAZLETON PA
18201-6405
US

IV. Provider business mailing address

8 W BROAD ST STE 410
HAZLETON PA
18201-6405
US

V. Phone/Fax

Practice location:
  • Phone: 267-639-8866
  • Fax: 215-525-0271
Mailing address:
  • Phone: 267-639-8866
  • Fax: 215-525-0271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: ANGELA FALU
Title or Position: OWNER
Credential:
Phone: 267-639-8866