Provider Demographics
NPI:1043895873
Name:IN LOVING HANDS HOME HEALTH CARE SERVICE
Entity Type:Organization
Organization Name:IN LOVING HANDS HOME HEALTH CARE SERVICE
Other - Org Name:IN LOVING HANDS HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TYNESHIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:LAIDLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-458-7656
Mailing Address - Street 1:325 MILL ST
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:PA
Mailing Address - Zip Code:19007-4833
Mailing Address - Country:US
Mailing Address - Phone:215-458-7656
Mailing Address - Fax:215-458-8143
Practice Address - Street 1:325 MILL ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:PA
Practice Address - Zip Code:19007-4833
Practice Address - Country:US
Practice Address - Phone:215-458-7656
Practice Address - Fax:215-458-8143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-12
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103987634-001Medicaid