Provider Demographics
NPI:1558916130
Name:EAGLE HOME CARE, LP
Entity Type:Organization
Organization Name:EAGLE HOME CARE, LP
Other - Org Name:GRISWOLD HOME CARE-CHESTER COUNTY OFFICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:BACHICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-458-7100
Mailing Address - Street 1:70 POTTSTOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:CHESTER SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:19425-9512
Mailing Address - Country:US
Mailing Address - Phone:610-458-7100
Mailing Address - Fax:
Practice Address - Street 1:70 POTTSTOWN PIKE
Practice Address - Street 2:
Practice Address - City:CHESTER SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:19425-9512
Practice Address - Country:US
Practice Address - Phone:610-458-7100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-09
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care