Provider Demographics
NPI:1164742391
Name:YORK COUNTY IN HOME CARE INC.
Entity Type:Organization
Organization Name:YORK COUNTY IN HOME CARE INC.
Other - Org Name:RIGHT AT HOME OF SOUTHERN PENNSYLVANIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-757-7148
Mailing Address - Street 1:2550 KINGSTON RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-3732
Mailing Address - Country:US
Mailing Address - Phone:717-757-7148
Mailing Address - Fax:717-757-7246
Practice Address - Street 1:2550 KINGSTON RD
Practice Address - Street 2:SUITE 106
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-3732
Practice Address - Country:US
Practice Address - Phone:717-757-7148
Practice Address - Fax:717-757-7246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-10
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA14583601251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
60MM3OtherFEDERAL CENTRAL CONTRACTOR REGISTRATION (CCR) CAGE
962527540OtherDUNS
PA102467700 0001OtherDPW MEDICAL ASSISTANCE PROGRAM
PA76158OtherOCCUPATIONAL AND VOCATIONAL REHABILITATION PROVIDER
PA14583601OtherPENNSYLVANIA DEPARTMENT OF HEALTH