Provider Demographics
NPI:1225486939
Name:DESANTI HOME CARE, INC.
Entity Type:Organization
Organization Name:DESANTI HOME CARE, INC.
Other - Org Name:HOME HELPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:DESANTI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:724-652-5379
Mailing Address - Street 1:1901 WILMINGTON RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-1926
Mailing Address - Country:US
Mailing Address - Phone:724-652-5379
Mailing Address - Fax:724-652-5389
Practice Address - Street 1:1901 WILMINGTON RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1926
Practice Address - Country:US
Practice Address - Phone:724-652-5379
Practice Address - Fax:724-652-5389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-03
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA18233601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102586640Medicaid