Provider Demographics
NPI:1366089617
Name:CARE ASSURED HOME HEALTH LLC
Entity type:Organization
Organization Name:CARE ASSURED HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-465-5816
Mailing Address - Street 1:200 POWELTON AVE
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-1734
Mailing Address - Country:US
Mailing Address - Phone:215-465-5816
Mailing Address - Fax:215-337-2860
Practice Address - Street 1:200 POWELTON AVE
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:PA
Practice Address - Zip Code:19050-1734
Practice Address - Country:US
Practice Address - Phone:215-465-5816
Practice Address - Fax:215-337-2860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-05
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103745016-0001Medicaid