Provider Demographics
NPI:1336980119
Name:SAFE HOME CARE AGENCY LLC
Entity type:Organization
Organization Name:SAFE HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BHAKTA
Authorized Official - Middle Name:
Authorized Official - Last Name:GHALLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-237-0329
Mailing Address - Street 1:617 CAMPBELL ST
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18505-3403
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:617 CAMPBELL ST
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18505-3403
Practice Address - Country:US
Practice Address - Phone:570-281-0321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health