Provider Demographics
NPI:1497027411
Name:NORTHEAST HOME CARE SPECIALISTS, INC.
Entity Type:Organization
Organization Name:NORTHEAST HOME CARE SPECIALISTS, INC.
Other - Org Name:SENIOR HELPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:L
Authorized Official - Last Name:LATTARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-782-8500
Mailing Address - Street 1:7900 OLD YORK RD
Mailing Address - Street 2:114B
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-2318
Mailing Address - Country:US
Mailing Address - Phone:215-782-8500
Mailing Address - Fax:
Practice Address - Street 1:7900 OLD YORK RD
Practice Address - Street 2:114B
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-2318
Practice Address - Country:US
Practice Address - Phone:215-782-8500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA21273601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care