Provider Demographics
NPI:1881037604
Name:NORTHERN LIGHTS HEALTH CARE PARTNERSHIP INC
Entity Type:Organization
Organization Name:NORTHERN LIGHTS HEALTH CARE PARTNERSHIP INC
Other - Org Name:NORTHERN LIGHTS HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:R
Authorized Official - Last Name:AMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-714-3110
Mailing Address - Street 1:91 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:NY
Mailing Address - Zip Code:13617-1248
Mailing Address - Country:US
Mailing Address - Phone:315-714-3110
Mailing Address - Fax:315-714-3147
Practice Address - Street 1:91 MAIN ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:NY
Practice Address - Zip Code:13617-1248
Practice Address - Country:US
Practice Address - Phone:315-714-3110
Practice Address - Fax:315-714-3147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-11
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health