Provider Demographics
NPI:1720596182
Name:CAREGIVER HOMES OF PENNSYLVANIA, INC.
Entity Type:Organization
Organization Name:CAREGIVER HOMES OF PENNSYLVANIA, INC.
Other - Org Name:CAREFORTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-797-0673
Mailing Address - Street 1:120 ST. JAMES AVENUE
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-5021
Mailing Address - Country:US
Mailing Address - Phone:866-797-2333
Mailing Address - Fax:617-236-7777
Practice Address - Street 1:120 ST. JAMES AVENUE
Practice Address - Street 2:4TH FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-5021
Practice Address - Country:US
Practice Address - Phone:866-797-2333
Practice Address - Fax:617-236-7777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-18
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No253J00000XAgenciesFoster Care Agency