Healthcare Provider Details

I. General information

NPI: 1851781041
Provider Name (Legal Business Name): A BETTER LIFE HOME HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2015
Last Update Date: 04/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 LAS ROSAS DR
KENNETT SQUARE PA
19348-3230
US

IV. Provider business mailing address

502 LAS ROSAS DR
KENNETT SQUARE PA
19348-3230
US

V. Phone/Fax

Practice location:
  • Phone: 610-444-1079
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number26953601
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number26953601
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number26953601
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number26953601
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number26953601
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number26953601
License Number StatePA
# 7
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number26953601
License Number StatePA
# 8
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number26953601
License Number StatePA

VIII. Authorized Official

Name: CRYSTAL DYER
Title or Position: OWNER
Credential:
Phone: 610-444-1079