Provider Demographics
NPI:1477899110
Name:CLEAR BLUE HOLDINGS, INC.
Entity Type:Organization
Organization Name:CLEAR BLUE HOLDINGS, INC.
Other - Org Name:SENIOR HELPERS OF ERIE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:STEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-921-1785
Mailing Address - Street 1:901 DULANEY VALLEY RD STE 700
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2683
Mailing Address - Country:US
Mailing Address - Phone:844-743-4357
Mailing Address - Fax:
Practice Address - Street 1:16 W 8TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16501-1309
Practice Address - Country:US
Practice Address - Phone:814-454-9500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-28
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA15103601251E00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1022092600002Medicaid
PA1022092600002Medicaid
PA1022092600003Medicaid