Provider Demographics
NPI:1922424027
Name:ELEANOR'S GARDEN LLC
Entity Type:Organization
Organization Name:ELEANOR'S GARDEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:G
Authorized Official - Last Name:ROSSI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:215-302-2003
Mailing Address - Street 1:10125 VERREE RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19116-3611
Mailing Address - Country:US
Mailing Address - Phone:215-302-2003
Mailing Address - Fax:215-941-7304
Practice Address - Street 1:10125 VERREE RD
Practice Address - Street 2:SUIT 202
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19116-3611
Practice Address - Country:US
Practice Address - Phone:215-302-2003
Practice Address - Fax:215-941-7304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-13
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA17701601251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based