Healthcare Provider Details

I. General information

NPI: 1801704366
Provider Name (Legal Business Name): YVONNE MARIE GANCARCIK HOMECARE PROVIDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 S 2ND ST
SUNBURY PA
17801-2617
US

IV. Provider business mailing address

38 S 2ND ST
SUNBURY PA
17801-2617
US

V. Phone/Fax

Practice location:
  • Phone: 570-492-0929
  • Fax:
Mailing address:
  • Phone: 570-492-0929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number91753601
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: