Provider Demographics
NPI:1801389531
Name:LEHIGH VALLEY SENIOR CARE, LLC
Entity Type:Organization
Organization Name:LEHIGH VALLEY SENIOR CARE, LLC
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:D'AMICO
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:610-770-7773
Mailing Address - Street 1:3722 LEHIGH ST STE 408
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-3439
Mailing Address - Country:US
Mailing Address - Phone:610-770-7773
Mailing Address - Fax:610-770-7760
Practice Address - Street 1:3722 LEHIGH ST STE 408
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-3439
Practice Address - Country:US
Practice Address - Phone:610-770-7773
Practice Address - Fax:610-770-7760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-07
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA10593601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health