Provider Demographics
NPI:1962488734
Name:TOWER HEALTH AT HOME - POTTSTOWN
Entity Type:Organization
Organization Name:TOWER HEALTH AT HOME - POTTSTOWN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERIM CEO
Authorized Official - Prefix:
Authorized Official - First Name:LYNANN
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:DECUSATIS
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC SLP
Authorized Official - Phone:610-378-0481
Mailing Address - Street 1:1170 BERKSHIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1215
Mailing Address - Country:US
Mailing Address - Phone:610-378-0481
Mailing Address - Fax:610-378-9762
Practice Address - Street 1:1963 E HIGH ST
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-3209
Practice Address - Country:US
Practice Address - Phone:610-327-5700
Practice Address - Fax:610-327-5701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-22
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA155999251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
285641OtherAMERIHEALTH MERCY HOSPICE
000000144342OtherUNISON MEDPLUS HOSPICE
0001647000OtherIBC HOSPICE
31516OtherHEALTH PARTNERS HOSPICE
1682OtherHIGHMARK HOSPICE
31856OtherAETNA HOSPICE
PA1007496750005Medicaid
31516OtherHEALTH PARTNERS HOSPICE