Provider Demographics
NPI:1043979792
Name:HOME CARE
Entity Type:Organization
Organization Name:HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOME CARE/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:ATIYA
Authorized Official - Last Name:KATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-660-3306
Mailing Address - Street 1:1735 FOUR MILE DR APT 12
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-1963
Mailing Address - Country:US
Mailing Address - Phone:717-660-3306
Mailing Address - Fax:
Practice Address - Street 1:1735 FOUR MILE DR APT 12
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-1963
Practice Address - Country:US
Practice Address - Phone:717-660-3306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-09
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health