Healthcare Provider Details

I. General information

NPI: 1588537138
Provider Name (Legal Business Name): ALLSTATE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 N MAIN ST STE 219
SCRANTON PA
18518-1701
US

IV. Provider business mailing address

219 N MAIN AVE STE 219
SCRANTON PA
18504-3307
US

V. Phone/Fax

Practice location:
  • Phone: 347-425-3729
  • Fax:
Mailing address:
  • Phone: 347-425-3729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. YITZCHOK WEISS
Title or Position: CEO
Credential:
Phone: 347-425-3729