Provider Demographics
NPI:1922468719
Name:OLS ENTERPRISE, INC.
Entity Type:Organization
Organization Name:OLS ENTERPRISE, INC.
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LONNY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-868-7333
Mailing Address - Street 1:3644 ROUTE 378 UNIT D
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-5448
Mailing Address - Country:US
Mailing Address - Phone:610-868-7333
Mailing Address - Fax:
Practice Address - Street 1:3644 ROUTE 378 UNIT D
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-5448
Practice Address - Country:US
Practice Address - Phone:610-868-7333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOME INSTEAD SENIOR CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-03-07
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA11203601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care