Provider Demographics
NPI:1073016465
Name:DANCING HEARTS HOMECARE LLC
Entity Type:Organization
Organization Name:DANCING HEARTS HOMECARE LLC
Other - Org Name:PREFERRED CARE AT HOME OF WYOMING VALLEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JANELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUILIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-654-9530
Mailing Address - Street 1:49 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:PITTSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18640-2582
Mailing Address - Country:US
Mailing Address - Phone:570-654-9530
Mailing Address - Fax:570-599-2643
Practice Address - Street 1:49 BROAD ST
Practice Address - Street 2:
Practice Address - City:PITTSTON
Practice Address - State:PA
Practice Address - Zip Code:18640-2582
Practice Address - Country:US
Practice Address - Phone:570-654-9530
Practice Address - Fax:570-599-2643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-13
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA32883601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care