Healthcare Provider Details

I. General information

NPI: 1659042489
Provider Name (Legal Business Name): EARLINES HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2021
Last Update Date: 09/22/2021
Certification Date: 09/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 ROSS CT
WYNCOTE PA
19095-1228
US

IV. Provider business mailing address

610 OLD YORK ROAD 400
JENKINTOWN PA
19046
US

V. Phone/Fax

Practice location:
  • Phone: 800-397-7461
  • Fax:
Mailing address:
  • Phone: 800-397-7461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier59113601
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerHOME CARE AGENCY

VIII. Authorized Official

Name: MS. LATOYA MICHELLE RIPPY
Title or Position: CEO
Credential:
Phone: 800-397-7461