Provider Demographics
NPI:1609620954
Name:MAKE A WAY HOME CARE LLC
Entity Type:Organization
Organization Name:MAKE A WAY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FARZANA
Authorized Official - Middle Name:JOSEPHINE
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-972-0438
Mailing Address - Street 1:4532 LIME KILN RD
Mailing Address - Street 2:
Mailing Address - City:OREFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:18069-9613
Mailing Address - Country:US
Mailing Address - Phone:610-972-0438
Mailing Address - Fax:
Practice Address - Street 1:4532 LIME KILN RD
Practice Address - Street 2:
Practice Address - City:OREFIELD
Practice Address - State:PA
Practice Address - Zip Code:18069-9613
Practice Address - Country:US
Practice Address - Phone:610-972-0438
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care