Healthcare Provider Details

I. General information

NPI: 1164742391
Provider Name (Legal Business Name): YORK COUNTY IN HOME CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2010
Last Update Date: 08/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 KINGSTON RD SUITE 106
YORK PA
17402-3732
US

IV. Provider business mailing address

2550 KINGSTON RD SUITE 106
YORK PA
17402-3732
US

V. Phone/Fax

Practice location:
  • Phone: 717-757-7148
  • Fax: 717-757-7246
Mailing address:
  • Phone: 717-757-7148
  • Fax: 717-757-7246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number14583601
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number14583601
License Number StatePA

VIII. Authorized Official

Name: MR. KEITH ALAN ZIMMERMAN
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 717-757-7148