Provider Demographics
NPI:1699018648
Name:CARING LIFE SERVICES, INC.
Entity Type:Organization
Organization Name:CARING LIFE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:THERESA
Authorized Official - Last Name:DANCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-305-8812
Mailing Address - Street 1:648 N 52ND ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-4341
Mailing Address - Country:US
Mailing Address - Phone:215-305-8812
Mailing Address - Fax:215-305-8813
Practice Address - Street 1:648 N 52ND ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-4341
Practice Address - Country:US
Practice Address - Phone:215-305-8812
Practice Address - Fax:215-305-8813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA22513601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1027453160001Medicaid
PA1027453160002Medicaid
PA1027453160003Medicaid