Healthcare Provider Details

I. General information

NPI: 1457661118
Provider Name (Legal Business Name): A&E HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2010
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 WOODLAND AVE STE A
MORTON PA
19070-1440
US

IV. Provider business mailing address

35 WOODLAND AVE STE A
MORTON PA
19070-1440
US

V. Phone/Fax

Practice location:
  • Phone: 570-401-2681
  • Fax: 570-427-9892
Mailing address:
  • Phone: 570-401-2681
  • Fax: 570-427-9892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number04200501
License Number StatePA

VIII. Authorized Official

Name: EDWARD JALLAH TELLEWOYAN
Title or Position: OWNER
Credential:
Phone: 570-401-2681