Healthcare Provider Details

I. General information

NPI: 1619664091
Provider Name (Legal Business Name): FEPA HOMECARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2023
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 E MARKET ST STE 104
YORK PA
17401-1245
US

IV. Provider business mailing address

17 E MARKET ST STE 104
YORK PA
17401-1245
US

V. Phone/Fax

Practice location:
  • Phone: 717-332-5650
  • Fax:
Mailing address:
  • Phone: 717-332-5650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: YVETTE ASHIME
Title or Position: PRESIDENT
Credential:
Phone: 717-332-5650