Healthcare Provider Details

I. General information

NPI: 1831406610
Provider Name (Legal Business Name): BUCKS COUNTY SENIOR CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2010
Last Update Date: 09/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5891 EASTON RD
PLUMSTEADVILLE PA
18949
US

IV. Provider business mailing address

PO BOX 120
PLUMSTEADVILLE PA
18949-0120
US

V. Phone/Fax

Practice location:
  • Phone: 215-766-1617
  • Fax: 215-766-1677
Mailing address:
  • Phone: 215-766-1617
  • Fax: 215-766-1677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number12233601
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number12233601
License Number StatePA

VIII. Authorized Official

Name: MR. WILLIAM V RICE
Title or Position: GEN'L MGR
Credential:
Phone: 215-766-1617