Provider Demographics
NPI:1467042523
Name:DORTHYS HOME CARE
Entity Type:Organization
Organization Name:DORTHYS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FELICIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-201-1915
Mailing Address - Street 1:211 ENDLICH AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT PENN
Mailing Address - State:PA
Mailing Address - Zip Code:19606-2117
Mailing Address - Country:US
Mailing Address - Phone:814-201-1915
Mailing Address - Fax:
Practice Address - Street 1:211 ENDLICH AVE
Practice Address - Street 2:
Practice Address - City:MOUNT PENN
Practice Address - State:PA
Practice Address - Zip Code:19606-2117
Practice Address - Country:US
Practice Address - Phone:814-201-1915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care