Provider Demographics
NPI:1003963471
Name:THERESA ZURILLA DBA HOME INSTEAD SENIOR CARE
Entity Type:Organization
Organization Name:THERESA ZURILLA DBA HOME INSTEAD SENIOR CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ZURILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-693-2911
Mailing Address - Street 1:1301 ALLEGHENY ST
Mailing Address - Street 2:
Mailing Address - City:HOLLIDAYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16648-2455
Mailing Address - Country:US
Mailing Address - Phone:814-693-2911
Mailing Address - Fax:
Practice Address - Street 1:1301 ALLEGHENY ST
Practice Address - Street 2:
Practice Address - City:HOLLIDAYSBURG
Practice Address - State:PA
Practice Address - Zip Code:16648-2455
Practice Address - Country:US
Practice Address - Phone:814-693-2911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PANOT LICENSED251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018165820001OtherPDA WAIVER PROVIDER