MEDICARE: ALLEN LEAR HOME CARE ASSOCIATES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	77760501	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508864679
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLEN LEAR HOME CARE ASSOCIATES INC

Provider Business Mailing Address
First Line	:	748 B MILFORD RD
Second Line	:
City	:	EAST STROUDSBURG
State	:	PA
Zip	:	18301-1328
Country	:	US
Telephone Number	:	570-426-7514
Fax Number	:	570-426-7516

Provider Business Practice Location Address
First Line	:	748B MILFORD RD
Second Line	:
City	:	EAST STROUDSBURG
State	:	PA
Zip	:	18301-1328
Country	:	US
Telephone Number	:	570-426-7514
Fax Number	:	570-426-7516

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	BEVERLY C ALLEN
Credential	:
Telephone Number	:	570-426-7514

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	08/22/2020

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