Provider Demographics
NPI:1467446609
Name:RX HOME CARE INC.
Entity Type:Organization
Organization Name:RX HOME CARE INC.
Other - Org Name:CARESPHERE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-641-6113
Mailing Address - Street 1:1 E BROAD ST STE 430
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-5963
Mailing Address - Country:US
Mailing Address - Phone:610-868-1801
Mailing Address - Fax:610-954-9367
Practice Address - Street 1:1 E BROAD ST STE 430
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-5963
Practice Address - Country:US
Practice Address - Phone:610-868-1801
Practice Address - Fax:610-954-9367
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARESPHERE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-09-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA758705163WG0000X, 163WH0200X, 164W00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Single Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015892880001Medicaid
PA0015892880001Medicaid