Provider Demographics
NPI:1104221621
Name:INTERIM MANAGEMENT ASSOCIATES INC.
Entity Type:Organization
Organization Name:INTERIM MANAGEMENT ASSOCIATES INC.
Other - Org Name:HOME INSTEAD SENIOR CARE OF BUCKS COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLACKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-943-7700
Mailing Address - Street 1:1609 WOODBOURNE RD
Mailing Address - Street 2:STE. 204A
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19057-1500
Mailing Address - Country:US
Mailing Address - Phone:215-943-7700
Mailing Address - Fax:215-943-7701
Practice Address - Street 1:1609 WOODBOURNE RD
Practice Address - Street 2:STE. 204A
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19057-1500
Practice Address - Country:US
Practice Address - Phone:215-943-7700
Practice Address - Fax:215-943-7701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-27
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA13013601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care