Provider Demographics
NPI:1588005557
Name:LYON MANAGEMENT SERVICES
Entity Type:Organization
Organization Name:LYON MANAGEMENT SERVICES
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LYON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-452-6691
Mailing Address - Street 1:54 HALSTEAD BLVD
Mailing Address - Street 2:
Mailing Address - City:ZELIENOPLE
Mailing Address - State:PA
Mailing Address - Zip Code:16063-1904
Mailing Address - Country:US
Mailing Address - Phone:724-452-6691
Mailing Address - Fax:724-452-6693
Practice Address - Street 1:54 HALSTEAD BLVD
Practice Address - Street 2:
Practice Address - City:ZELIENOPLE
Practice Address - State:PA
Practice Address - Zip Code:16063-1904
Practice Address - Country:US
Practice Address - Phone:724-452-6691
Practice Address - Fax:724-452-6693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-08
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA12203601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1011755320001Medicaid
PA333OtherVETERANS AFFAIRS