Provider Demographics
NPI:1952724387
Name:SHILOH HOMECARE CORPORATION
Entity type:Organization
Organization Name:SHILOH HOMECARE CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-718-9393
Mailing Address - Street 1:PO BOX 28
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17405-0028
Mailing Address - Country:US
Mailing Address - Phone:717-718-9393
Mailing Address - Fax:717-718-9595
Practice Address - Street 1:266 W MARKET ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17401
Practice Address - Country:US
Practice Address - Phone:717-718-9393
Practice Address - Fax:717-718-9595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-21
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA06040501251E00000X
PA18833601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health