Provider Demographics
NPI:1114315892
Name:GERAS HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:GERAS HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAROSLAW
Authorized Official - Middle Name:
Authorized Official - Last Name:JEKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-355-2200
Mailing Address - Street 1:3415 W CHESTER PIKE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-4279
Mailing Address - Country:US
Mailing Address - Phone:610-355-2200
Mailing Address - Fax:610-355-2203
Practice Address - Street 1:3415 W CHESTER PIKE
Practice Address - Street 2:SUITE 302
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-4279
Practice Address - Country:US
Practice Address - Phone:610-355-2200
Practice Address - Fax:610-355-2203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-02
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA26343601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health