Provider Demographics
NPI:1992289466
Name:PARAGON HOME CARE LLC
Entity type:Organization
Organization Name:PARAGON HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUBINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-366-0990
Mailing Address - Street 1:8116 OLD YORK RD.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027
Mailing Address - Country:US
Mailing Address - Phone:215-366-0990
Mailing Address - Fax:215-366-0991
Practice Address - Street 1:8116 OLD YORK RD.
Practice Address - Street 2:SUITE 200
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027
Practice Address - Country:US
Practice Address - Phone:215-366-0990
Practice Address - Fax:215-366-0991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1034536930001Medicaid