Provider Demographics
NPI:1649864406
Name:RYAN HOME HEALTHCARE, LLC
Entity type:Organization
Organization Name:RYAN HOME HEALTHCARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:V.P. BUSINESS DEVELOPMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:SR
Authorized Official - Credentials:RN
Authorized Official - Phone:610-937-2736
Mailing Address - Street 1:PO BOX 64764
Mailing Address - Street 2:
Mailing Address - City:SOUDERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18964-0764
Mailing Address - Country:US
Mailing Address - Phone:610-937-2736
Mailing Address - Fax:
Practice Address - Street 1:175 STRAFFORD AVE STE 202
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-3317
Practice Address - Country:US
Practice Address - Phone:610-254-0600
Practice Address - Fax:866-823-8280
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KASACARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-02-23
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No251S00000XAgenciesCommunity/Behavioral Health