Provider Demographics
NPI:1508864679
Name:ALLEN LEAR HOME CARE ASSOCIATES INC
Entity Type:Organization
Organization Name:ALLEN LEAR HOME CARE ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:C
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-426-7514
Mailing Address - Street 1:748 B MILFORD RD
Mailing Address - Street 2:
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18301-1328
Mailing Address - Country:US
Mailing Address - Phone:570-426-7514
Mailing Address - Fax:570-426-7516
Practice Address - Street 1:748B MILFORD RD
Practice Address - Street 2:
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-1328
Practice Address - Country:US
Practice Address - Phone:570-426-7514
Practice Address - Fax:570-426-7516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA77760501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019746430001Medicaid
PA397776Medicare ID - Type Unspecified
PA=========Medicare UPIN