MEDICARE: LUZERNE HOMECARE AGENCY LLC

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1679400907
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUZERNE HOMECARE AGENCY LLC

Provider Business Mailing Address
First Line	:	163 E ALBANUS ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19120-3501
Country	:	US
Telephone Number	:	267-639-8866
Fax Number	:	215-525-0271

Provider Business Practice Location Address
First Line	:	163 E ALBANUS ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19120-3501
Country	:	US
Telephone Number	:	267-639-8866
Fax Number	:	215-525-0271

Authorized Official
Title or Position	:	OWNER
Name	:	ANGELA FALU
Credential	:
Telephone Number	:	267-639-8866

Provider Enumeration Date	:	05/08/2026
Last Update Date	:	05/27/2026

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