Provider Demographics
NPI:1659661684
Name:SCRANTON HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:SCRANTON HOME CARE SERVICES LLC
Other - Org Name:COMMONWEALTH HOME HEALTH & HOSPICE OF NEPA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIR. BUSINESS OFFICE SUPPORT
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLTSFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-465-7466
Mailing Address - Street 1:746 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18510-1624
Mailing Address - Country:US
Mailing Address - Phone:570-961-0725
Mailing Address - Fax:570-340-5484
Practice Address - Street 1:746 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18510-1624
Practice Address - Country:US
Practice Address - Phone:570-961-0725
Practice Address - Fax:570-340-5484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-11
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000000Medicaid
1659373215OtherOLD NPI
1013990704OtherOLD NPI
1184626988OtherOLD NPI
1013990704OtherOLD NPI