Provider Demographics
NPI:1942650890
Name:SHARING LOVE HOME CARE LLC.
Entity Type:Organization
Organization Name:SHARING LOVE HOME CARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-914-6917
Mailing Address - Street 1:229 W. LEHIGH AVE.
Mailing Address - Street 2:SUITE 201-FL2
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19133
Mailing Address - Country:US
Mailing Address - Phone:215-914-6917
Mailing Address - Fax:215-914-6972
Practice Address - Street 1:229 W. LEHIGH AVE.
Practice Address - Street 2:SUITE 201-FL2
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19133
Practice Address - Country:US
Practice Address - Phone:215-914-6917
Practice Address - Fax:215-914-6972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-21
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA30793601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA=========Medicaid