Provider Demographics
NPI:1619953775
Name:TOWER HEALTH AT HOME
Entity Type:Organization
Organization Name:TOWER HEALTH AT HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-628-1324
Mailing Address - Street 1:PO BOX 16052
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19612-6052
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:739 READING AVE
Practice Address - Street 2:
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1045
Practice Address - Country:US
Practice Address - Phone:610-378-0481
Practice Address - Fax:610-378-9762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-21
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA700105251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1006932200004Medicaid
1139OtherGENTIVA CARE CENTRIX
1684OtherHIGHMARK
0000825000OtherIBC BABY BLUE PRINT
119751OtherMEDPLUS
34737OtherSENIOR PARTNERS
34737OtherHEALTH PARTNERS
47207OtherKEYSTONE MERCY
32963OtherAETNA
47207OtherAMERIHEALTH MERCY
700266OtherBLACK LUNG
7391904OtherGATEWAY
0000737000OtherIBC MOTHER OPTIONS
0007202000OtherIBC
PA1006932200005Medicaid
397001OtherCBC
47207OtherKEYSTONE MERCY