Provider Demographics
NPI:1003056128
Name:HOME HEALTH CARE BASICS L.L.C.
Entity Type:Organization
Organization Name:HOME HEALTH CARE BASICS L.L.C.
Other - Org Name:HOME HEALTH CARE BASICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PENN-GUIZZETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-620-2518
Mailing Address - Street 1:123 COOPER RD
Mailing Address - Street 2:
Mailing Address - City:LANDENBERG
Mailing Address - State:PA
Mailing Address - Zip Code:19350-9200
Mailing Address - Country:US
Mailing Address - Phone:484-620-2518
Mailing Address - Fax:
Practice Address - Street 1:123 COOPER RD
Practice Address - Street 2:
Practice Address - City:LANDENBERG
Practice Address - State:PA
Practice Address - Zip Code:19350-9200
Practice Address - Country:US
Practice Address - Phone:484-620-2518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-02
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0OtherNONE