Provider Demographics
NPI:1861284903
Name:SANCTUARY HOME CARE LLC
Entity type:Organization
Organization Name:SANCTUARY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-378-2247
Mailing Address - Street 1:126 E BURKE ST STE 13
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25401-4302
Mailing Address - Country:US
Mailing Address - Phone:304-378-2247
Mailing Address - Fax:
Practice Address - Street 1:126 E BURKE ST STE 13
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-4302
Practice Address - Country:US
Practice Address - Phone:304-378-2247
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RIGHT AT HOME
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty