Provider Demographics
NPI:1760468532
Name:TOWER HEALTH AT HOME
Entity type:Organization
Organization Name:TOWER HEALTH AT HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-628-1324
Mailing Address - Street 1:739 READING AVE
Mailing Address - Street 2:
Mailing Address - City:WEST READING
Mailing Address - State:PA
Mailing Address - Zip Code:19611-1045
Mailing Address - Country:US
Mailing Address - Phone:610-378-0481
Mailing Address - Fax:610-685-0191
Practice Address - Street 1:739 READING AVE
Practice Address - Street 2:
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1045
Practice Address - Country:US
Practice Address - Phone:610-378-0481
Practice Address - Fax:610-685-0191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-22
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA153699251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
0002911000OtherIBC HOSPICE
391904OtherCBC HOSPICE
PA1006932200003Medicaid
32963OtherAETNA HOSPICE
32963OtherAETNA HOSPICE