Provider Demographics
NPI:1114168952
Name:AURORA HOME CARE, INC
Entity Type:Organization
Organization Name:AURORA HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANANOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-354-4444
Mailing Address - Street 1:518 BUSTLETON PIKE
Mailing Address - Street 2:UNITD
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-6052
Mailing Address - Country:US
Mailing Address - Phone:215-354-4444
Mailing Address - Fax:215-953-9943
Practice Address - Street 1:518 BUSTLETON PIKE
Practice Address - Street 2:UNITD
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-6052
Practice Address - Country:US
Practice Address - Phone:215-354-4444
Practice Address - Fax:215-953-9943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-06
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA03520501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health