Provider Demographics
NPI:1164501300
Name:CONFER HOME HEALTH SERIVE, LLC
Entity Type:Organization
Organization Name:CONFER HOME HEALTH SERIVE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CONFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-323-9525
Mailing Address - Street 1:327 S HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:S WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17702-7338
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:327 S HOWARD ST
Practice Address - Street 2:
Practice Address - City:S WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17702-7338
Practice Address - Country:US
Practice Address - Phone:570-323-9525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017371480001Medicaid