Provider Demographics
NPI:1306381678
Name:CAREGIVERS AMERICA HOME HEALTH SERVICES, LLC.
Entity Type:Organization
Organization Name:CAREGIVERS AMERICA HOME HEALTH SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:CADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN
Authorized Official - Phone:570-586-2222
Mailing Address - Street 1:961 MARCON BLVD
Mailing Address - Street 2:SUITE 440
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18109-9521
Mailing Address - Country:US
Mailing Address - Phone:610-231-2022
Mailing Address - Fax:570-585-1321
Practice Address - Street 1:961 MARCON BLVD
Practice Address - Street 2:SUITE 440
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18109-9521
Practice Address - Country:US
Practice Address - Phone:610-231-2022
Practice Address - Fax:570-585-1321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-22
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA04840501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA04840501OtherDEPARTMENT OF HEALTH
PA1020804420012Medicaid
PA1020804420012Medicaid