Provider Demographics
NPI:1093434177
Name:PROPER CARE LLC
Entity Type:Organization
Organization Name:PROPER CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BISHNU
Authorized Official - Middle Name:B
Authorized Official - Last Name:NIROULA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-820-0713
Mailing Address - Street 1:2040 DEER PATH RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-3473
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2040 DEER PATH RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-3473
Practice Address - Country:US
Practice Address - Phone:603-820-0713
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1040358020001Medicaid