Provider Demographics
NPI:1669007290
Name:PREVENTIVE MEASURES HOME HEALTH CARE
Entity Type:Organization
Organization Name:PREVENTIVE MEASURES HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:JONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-225-4323
Mailing Address - Street 1:515 W LINDEN ST FL 2
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18101-1426
Mailing Address - Country:US
Mailing Address - Phone:202-699-1209
Mailing Address - Fax:
Practice Address - Street 1:515 W LINDEN ST FL 2
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18101-1426
Practice Address - Country:US
Practice Address - Phone:202-699-1209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-04
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1031102050001Medicaid