Healthcare Provider Details

I. General information

NPI: 1023593845
Provider Name (Legal Business Name): READING PA HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2018
Last Update Date: 09/21/2023
Certification Date: 09/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 WELLINGTON BLVD STE 102
WYOMISSING PA
19610-1800
US

IV. Provider business mailing address

112 LOVE RD STE J
READING PA
19607-9628
US

V. Phone/Fax

Practice location:
  • Phone: 610-898-7880
  • Fax:
Mailing address:
  • Phone: 610-898-7880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MR. TIMOTHY DIMONTE
Title or Position: DIRECTOR
Credential:
Phone: 610-898-7880