Provider Demographics
NPI:1700221983
Name:CAREPINE HOME HEALTH
Entity Type:Organization
Organization Name:CAREPINE HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELIUD
Authorized Official - Middle Name:
Authorized Official - Last Name:OMOLLLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-874-8535
Mailing Address - Street 1:300 WELSH RD BLDG 1-100
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-2288
Mailing Address - Country:US
Mailing Address - Phone:215-874-8535
Mailing Address - Fax:888-995-6650
Practice Address - Street 1:300 WELSH RD BLDG 1-100
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-2288
Practice Address - Country:US
Practice Address - Phone:215-874-8535
Practice Address - Fax:888-995-6650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-01
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health