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General NPI Number Information
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NPI Number | 1376408708
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Entity Type | Organization
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Legal Business Name | ERWINE CARE AT HOME, LLC
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 270 PIERCE STREET SUITE 101
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City | KINGSTON
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State | PA
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Zip | 18704-5141
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Country | US
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Telephone | 570-288-1013
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Fax | 570-288-6568
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Provider Business Mailing Address
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Address Line | 270 PIERCE STREET SUITE 101
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City | KINGSTON
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State | PA
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Zip | 18704-5141
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Country | US
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Telephone | 570-288-1013
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Fax | 570-288-6568
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MARY J. ERWINE
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Credential |
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Telephone | 570-288-1013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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