Healthcare Provider Details

I. General information

NPI: 1376408708
Provider Name (Legal Business Name): ERWINE CARE AT HOME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 PIERCE STREET SUITE 101
KINGSTON PA
18704-5141
US

IV. Provider business mailing address

270 PIERCE STREET SUITE 101
KINGSTON PA
18704-5141
US

V. Phone/Fax

Practice location:
  • Phone: 570-288-1013
  • Fax: 570-288-6568
Mailing address:
  • Phone: 570-288-1013
  • Fax: 570-288-6568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MARY J. ERWINE
Title or Position: PRESIDENT/CEO
Credential:
Phone: 570-288-1013