Provider Demographics
NPI:1023362324
Name:HOME CARE OF CHESTER COUNTY , INC.
Entity Type:Organization
Organization Name:HOME CARE OF CHESTER COUNTY , INC.
Other - Org Name:SYNERGY HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-341-8720
Mailing Address - Street 1:315 E LANCASTER AVE STE A
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-2941
Mailing Address - Country:US
Mailing Address - Phone:484-341-8720
Mailing Address - Fax:484-341-8726
Practice Address - Street 1:315 E LANCASTER AVE STE A
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-2941
Practice Address - Country:US
Practice Address - Phone:484-341-8720
Practice Address - Fax:484-341-8726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-08
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA20893601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health