Provider Demographics
NPI:1013990704
Name:MERCY TYLER HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:MERCY TYLER HOME HEALTH SERVICES
Other - Org Name:TYLER HOME HEALTH SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:H
Authorized Official - Last Name:FRANKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-348-7074
Mailing Address - Street 1:880 SR 6 W
Mailing Address - Street 2:
Mailing Address - City:TUNKHANNOCK
Mailing Address - State:PA
Mailing Address - Zip Code:18657-6149
Mailing Address - Country:US
Mailing Address - Phone:570-836-1640
Mailing Address - Fax:570-836-6415
Practice Address - Street 1:880 SR 6 W
Practice Address - Street 2:
Practice Address - City:TUNKHANNOCK
Practice Address - State:PA
Practice Address - Zip Code:18657-6149
Practice Address - Country:US
Practice Address - Phone:570-836-1640
Practice Address - Fax:570-836-6415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-28
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA757005251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5260031OtherAETNA PROVIDER #
PA1526558OtherGATEWAY HLTH PLN PROV #
PA397570OtherBC ACCESS CARE II PROV#
PA397570OtherBLUE CROSS OF NEPA PROV#
PA080381OtherFIRST PRIORITY HLTH PROV#
PA117925OtherTHREE RIVERS HLTH PROV#
PA0014335270002Medicaid
PA30868OtherGEISINGER HLTH PLN PRVDR#
PA0014335270002Medicaid