Provider Demographics
NPI:1407095417
Name:ELDER CARE ALTERNATIVES, INC.
Entity Type:Organization
Organization Name:ELDER CARE ALTERNATIVES, INC.
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:IAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BONGAARDT
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:610-543-6300
Mailing Address - Street 1:920 W SPROUL RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-1241
Mailing Address - Country:US
Mailing Address - Phone:610-543-6300
Mailing Address - Fax:610-543-1012
Practice Address - Street 1:920 W SPROUL RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-1241
Practice Address - Country:US
Practice Address - Phone:610-543-6300
Practice Address - Fax:610-543-1012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-13
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019117410001Medicaid