Provider Demographics
NPI:1497390397
Name:ARMSTRONG TOTAL CARE AGENCY, LLC
Entity Type:Organization
Organization Name:ARMSTRONG TOTAL CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:T
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:267-981-7097
Mailing Address - Street 1:817 HORSHAM RD
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-1209
Mailing Address - Country:US
Mailing Address - Phone:267-981-7097
Mailing Address - Fax:
Practice Address - Street 1:817 HORSHAM RD
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-1209
Practice Address - Country:US
Practice Address - Phone:267-981-7097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-14
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4519Medicaid