Provider Demographics
NPI:1629155072
Name:GORDON AND GORDON ENTERPRISES, INC.
Entity Type:Organization
Organization Name:GORDON AND GORDON ENTERPRISES, INC.
Other - Org Name:HOMEWATCH CAREGIVERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:610-882-2477
Mailing Address - Street 1:3864 ADLER PL
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-9418
Mailing Address - Country:US
Mailing Address - Phone:610-882-2477
Mailing Address - Fax:610-882-0247
Practice Address - Street 1:3864 ADLER PL
Practice Address - Street 2:SUITE 300
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-9418
Practice Address - Country:US
Practice Address - Phone:610-882-2477
Practice Address - Fax:610-882-0247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019385760002Medicaid
PA0019385760001Medicaid
PA0019385760008Medicaid
PA0019385760009Medicaid