Provider Demographics
NPI:1932532207
Name:HOME CARE HEALTH SPECIALISTS LLC
Entity Type:Organization
Organization Name:HOME CARE HEALTH SPECIALISTS LLC
Other - Org Name:MOVE FOR LIFE PHYSICAL THERAPY LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:PENROSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-663-5888
Mailing Address - Street 1:PO BOX 8258
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17604-8258
Mailing Address - Country:US
Mailing Address - Phone:610-663-5888
Mailing Address - Fax:800-509-6008
Practice Address - Street 1:1450 E LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1534
Practice Address - Country:US
Practice Address - Phone:610-663-5888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-09
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDBC89-0000OtherCARE FIRST
MDBC89-0000OtherCARE FIRST