Provider Demographics
NPI:1861793572
Name:EAGLE HELPERS IN-HOME HEALTH CARE SERVICE LLC
Entity type:Organization
Organization Name:EAGLE HELPERS IN-HOME HEALTH CARE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BOBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-822-5502
Mailing Address - Street 1:104 BRITTANY DR
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-2331
Mailing Address - Country:US
Mailing Address - Phone:215-822-5502
Mailing Address - Fax:215-822-5866
Practice Address - Street 1:104 BRITTANY DR
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-2331
Practice Address - Country:US
Practice Address - Phone:215-822-5502
Practice Address - Fax:215-822-5866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-11
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA21463601253Z00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care