Provider Demographics
NPI:1477885622
Name:PRIVATE CARE RESOURCES, INC
Entity Type:Organization
Organization Name:PRIVATE CARE RESOURCES, INC
Other - Org Name:PRIVATE CARE HOME NURSING AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:THERESE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BENDER
Authorized Official - Suffix:
Authorized Official - Credentials:MHA,BSN,RNC,CMC
Authorized Official - Phone:814-693-2273
Mailing Address - Street 1:125 MAPLE HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:DUNCANSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16635-7920
Mailing Address - Country:US
Mailing Address - Phone:814-693-2273
Mailing Address - Fax:814-693-1191
Practice Address - Street 1:125 MAPLE HOLLOW RD
Practice Address - Street 2:
Practice Address - City:DUNCANSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16635-7920
Practice Address - Country:US
Practice Address - Phone:814-693-2273
Practice Address - Fax:814-693-1191
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRIVATE CARE RESOURCES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-12
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA02200501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health