Provider Demographics
NPI:1568466092
Name:HOME INSTEAD SENIOR CARE
Entity Type:Organization
Organization Name:HOME INSTEAD SENIOR CARE
Other - Org Name:CVIP ENTERPRISES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:STAFF COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DANOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-714-4260
Mailing Address - Street 1:216 N RIVER ST
Mailing Address - Street 2:STE 340
Mailing Address - City:WILKES BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18702-2523
Mailing Address - Country:US
Mailing Address - Phone:570-714-4260
Mailing Address - Fax:570-208-7952
Practice Address - Street 1:216 N RIVER ST
Practice Address - Street 2:STE 340
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18702-2523
Practice Address - Country:US
Practice Address - Phone:570-714-4260
Practice Address - Fax:570-208-7952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0019736640001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health