Provider Demographics
NPI:1346685211
Name:SAMARITAN HOMECARE
Entity Type:Organization
Organization Name:SAMARITAN HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:JANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BALABA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-638-3039
Mailing Address - Street 1:5 NESHAMINY INTERPLEX DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-6941
Mailing Address - Country:US
Mailing Address - Phone:215-638-3039
Mailing Address - Fax:215-245-4705
Practice Address - Street 1:5 NESHAMINY INTERPLEX DR
Practice Address - Street 2:SUITE 205
Practice Address - City:TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-6941
Practice Address - Country:US
Practice Address - Phone:215-638-3039
Practice Address - Fax:215-245-4705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA23903601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health