Provider Demographics
NPI:1356008205
Name:CENTER LIGHT HOME CARE LLC
Entity Type:Organization
Organization Name:CENTER LIGHT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DURYO
Authorized Official - Middle Name:D
Authorized Official - Last Name:ADHIKARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-264-0365
Mailing Address - Street 1:462 CHESTNUT WAY
Mailing Address - Street 2:
Mailing Address - City:NEW CUMBERLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17070-2733
Mailing Address - Country:US
Mailing Address - Phone:603-264-0365
Mailing Address - Fax:
Practice Address - Street 1:462 CHESTNUT WAY
Practice Address - Street 2:
Practice Address - City:NEW CUMBERLAND
Practice Address - State:PA
Practice Address - Zip Code:17070-2733
Practice Address - Country:US
Practice Address - Phone:603-264-0365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTER LIGHT HOME CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-25
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care