Provider Demographics
NPI:1376197657
Name:DEMETRIA HANDS OF CARE LLC
Entity Type:Organization
Organization Name:DEMETRIA HANDS OF CARE LLC
Other - Org Name:DHOC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCOTTON-CARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-685-9222
Mailing Address - Street 1:408 E 4TH ST STE 301A
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:PA
Mailing Address - Zip Code:19405-1800
Mailing Address - Country:US
Mailing Address - Phone:267-237-5150
Mailing Address - Fax:
Practice Address - Street 1:408 E 4TH ST STE 301A
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:PA
Practice Address - Zip Code:19405-1800
Practice Address - Country:US
Practice Address - Phone:267-237-5150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-25
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health