Healthcare Provider Details

I. General information

NPI: 1518585702
Provider Name (Legal Business Name): INDEPENDENT HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2020
Last Update Date: 07/02/2024
Certification Date: 07/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 S FRONT ST
MILTON PA
17847-1111
US

IV. Provider business mailing address

68 S FRONT ST
MILTON PA
17847-1111
US

V. Phone/Fax

Practice location:
  • Phone: 267-349-3541
  • Fax:
Mailing address:
  • Phone: 267-349-3541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374K00000X
TaxonomyReligious Nonmedical Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: LEVI J SWART
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 215-678-8181