Provider Demographics
NPI:1437381845
Name:CARE LINK HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:CARE LINK HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:B
Authorized Official - Last Name:CAPUTO
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:570-427-4586
Mailing Address - Street 1:710 WALLACE WAY
Mailing Address - Street 2:
Mailing Address - City:WEATHERLY
Mailing Address - State:PA
Mailing Address - Zip Code:18255-3360
Mailing Address - Country:US
Mailing Address - Phone:877-321-4227
Mailing Address - Fax:570-427-8744
Practice Address - Street 1:203 CLAREMONT AVE
Practice Address - Street 2:HOMETOWN OFFICE
Practice Address - City:TAMAQUA
Practice Address - State:PA
Practice Address - Zip Code:18252-4430
Practice Address - Country:US
Practice Address - Phone:570-668-2604
Practice Address - Fax:570-427-8744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-18
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA3684195253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1020091240001Medicaid