Healthcare Provider Details

I. General information

NPI: 1932532207
Provider Name (Legal Business Name): HOME CARE HEALTH SPECIALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2013
Last Update Date: 07/28/2024
Certification Date: 10/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 E LANCASTER AVE
PAOLI PA
19301-1534
US

IV. Provider business mailing address

PO BOX 8258
LANCASTER PA
17604-8258
US

V. Phone/Fax

Practice location:
  • Phone: 610-663-5888
  • Fax:
Mailing address:
  • Phone: 215-499-5448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: KRISTEN PETITT
Title or Position: MANAGER
Credential:
Phone: 215-499-5448