Provider Demographics
NPI:1891036943
Name:AGELESS SENIOR IN HOME CARE
Entity Type:Organization
Organization Name:AGELESS SENIOR IN HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:V
Authorized Official - Last Name:QUARATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-850-6087
Mailing Address - Street 1:718 JACKSON RD
Mailing Address - Street 2:
Mailing Address - City:APOLLO
Mailing Address - State:PA
Mailing Address - Zip Code:15613-8030
Mailing Address - Country:US
Mailing Address - Phone:856-473-4666
Mailing Address - Fax:888-827-2736
Practice Address - Street 1:718 JACKSON RD
Practice Address - Street 2:
Practice Address - City:APOLLO
Practice Address - State:PA
Practice Address - Zip Code:15613-8030
Practice Address - Country:US
Practice Address - Phone:856-473-4666
Practice Address - Fax:888-827-2736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-13
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service