Provider Demographics
NPI:1598283053
Name:PROFESSIONAL CARE PARTNERSHIP, LLC
Entity Type:Organization
Organization Name:PROFESSIONAL CARE PARTNERSHIP, LLC
Other - Org Name:SENIOR HELPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:PISHOCK
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:215-500-0119
Mailing Address - Street 1:4051 HECKLER RD
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-1150
Mailing Address - Country:US
Mailing Address - Phone:215-500-0119
Mailing Address - Fax:484-464-2910
Practice Address - Street 1:199 S 1ST ST
Practice Address - Street 2:
Practice Address - City:LEHIGHTON
Practice Address - State:PA
Practice Address - Zip Code:18235-2066
Practice Address - Country:US
Practice Address - Phone:484-464-2900
Practice Address - Fax:484-464-2910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-05
Last Update Date:2017-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA34443601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care