Healthcare Provider Details
I. General information
NPI: 1326685538
Provider Name (Legal Business Name): CAREGIVERS HOMECARE AGENCY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/06/2019
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
596 PINE HOLLOW RD
MC KEES ROCKS PA
15136-1661
US
IV. Provider business mailing address
2050 W COUNTY LINE RD
JACKSON NJ
08527-2035
US
V. Phone/Fax
- Phone: 412-379-7000
- Fax: 412-379-7070
- Phone: 848-456-7000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In 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 | |
| Identifier | 30878310 |
| Identifier Type | MEDICAID |
| Identifier State | PA |
| Identifier Issuer | |
VIII. Authorized Official
Name:
AARON
EPSTEIN
Title or Position: EXECUTIVE
Credential:
Phone: 848-456-7000