Provider Demographics
NPI:1659042489
Name:EARLINES HOME CARE
Entity Type:Organization
Organization Name:EARLINES HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LATOYA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:RIPPY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-397-7461
Mailing Address - Street 1:610 OLD YORK ROAD
Mailing Address - Street 2:400
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046
Mailing Address - Country:US
Mailing Address - Phone:800-397-7461
Mailing Address - Fax:
Practice Address - Street 1:321 ROSS CT
Practice Address - Street 2:
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095-1228
Practice Address - Country:US
Practice Address - Phone:800-397-7461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-22
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA59113601OtherHOME CARE AGENCY