Provider Demographics
NPI:1821196999
Name:ELDERLY CARE COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:ELDERLY CARE COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHAIRER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:215-643-1110
Mailing Address - Street 1:642 COWPATH RD
Mailing Address - Street 2:#393
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446
Mailing Address - Country:US
Mailing Address - Phone:215-643-1110
Mailing Address - Fax:215-643-1134
Practice Address - Street 1:580 VIRGINIA DR
Practice Address - Street 2:SUITE 141
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-2715
Practice Address - Country:US
Practice Address - Phone:215-643-1110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA107251Medicare PIN