Provider Demographics
NPI:1306095054
Name:PAMPERING PLUS INC
Entity type:Organization
Organization Name:PAMPERING PLUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JOCELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:215-881-8902
Mailing Address - Street 1:1522 OLD YORK RD
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-2607
Mailing Address - Country:US
Mailing Address - Phone:215-881-8902
Mailing Address - Fax:215-881-8912
Practice Address - Street 1:1522 OLD YORK RD
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-2607
Practice Address - Country:US
Practice Address - Phone:215-881-8902
Practice Address - Fax:215-881-8912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA03390501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA10112140001Medicaid