MEDICARE: KASACARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	251S00000X	Community/Behavioral Health Agency
3	251E00000X	Home Health Agency
4	251F00000X	Home Infusion Agency
5	251B00000X	Case Management Agency
6	253Z00000X	In Home Supportive Care Agency
7	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1649864406
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KASACARE

Provider Business Mailing Address
First Line	:	PO BOX 64764
Second Line	:
City	:	SOUDERTON
State	:	PA
Zip	:	18964-0764
Country	:	US
Telephone Number	:	610-937-2736
Fax Number	:

Provider Business Practice Location Address
First Line	:	175 STRAFFORD AVE STE 202
Second Line	:
City	:	WAYNE
State	:	PA
Zip	:	19087-3317
Country	:	US
Telephone Number	:	610-254-0600
Fax Number	:	855-823-8280

Authorized Official
Title or Position	:	LEGACY (V.P. BUSINESS DEVELOPMENT)
Name	:	MR. DANIEL DAVID RYAN SR.
Credential	:
Telephone Number	:	610-937-2736

Provider Enumeration Date	:	02/23/2021
Last Update Date	:	05/25/2026

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Directions to “KASACARE ” Practice Location

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