Provider Demographics
NPI:1689322661
Name:ACCENTCARE AT HOME OF PENNSYLVANIA, LLC
Entity Type:Organization
Organization Name:ACCENTCARE AT HOME OF PENNSYLVANIA, LLC
Other - Org Name:ACCENTCARE PERSONAL CARE SERVICES OF PENNSYLVANIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF PCS MARKET DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:LISKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-303-6448
Mailing Address - Street 1:1000 GROSSER RD FL 2
Mailing Address - Street 2:
Mailing Address - City:GILBERTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19525-9370
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1000 GROSSER RD
Practice Address - Street 2:
Practice Address - City:GILBERTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19525-9370
Practice Address - Country:US
Practice Address - Phone:267-878-0453
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-17
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health