Provider Demographics
NPI:1225170095
Name:CARVELL HOMECARE INC
Entity Type:Organization
Organization Name:CARVELL HOMECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:215-942-9696
Mailing Address - Street 1:1051 COUNTY LINE RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:HUNTINGTON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006
Mailing Address - Country:US
Mailing Address - Phone:215-942-9696
Mailing Address - Fax:215-942-9980
Practice Address - Street 1:1051 COUNTY LINE RD
Practice Address - Street 2:SUITE 110
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-1229
Practice Address - Country:US
Practice Address - Phone:215-942-9696
Practice Address - Fax:215-942-9980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA764405251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1042219OtherKEYSTONE MERCY
PA1042219OtherKEYSTONE MERCY