Provider Demographics
NPI:1730437781
Name:RM HOME SERVICES
Entity type:Organization
Organization Name:RM HOME SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:J
Authorized Official - Last Name:TIDEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BS
Authorized Official - Phone:267-932-6030
Mailing Address - Street 1:672 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438-1679
Mailing Address - Country:US
Mailing Address - Phone:267-932-6030
Mailing Address - Fax:267-932-6035
Practice Address - Street 1:672 MAIN ST
Practice Address - Street 2:
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438-1679
Practice Address - Country:US
Practice Address - Phone:267-932-6030
Practice Address - Fax:267-932-6035
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROCKHILL MENNONITE COMMUNITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-08-23
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA15203601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1028124550001Medicaid