| Whole Senior Care Llc | |
|
306 Henry Ln Wallingford PA 19086-6412 | |
| (267) 997-8866 | |
| Not Available |
| Full Name | Whole Senior Care Llc |
|---|---|
| Speciality | In Home Supportive Care |
| Location | 306 Henry Ln, Wallingford, Pennsylvania |
| Authorized Official Name and Position | Jayma C Sitton (PROPRIETOR) |
| Authorized Official Contact | 2679978866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Senior Care Llc 306 Henry Ln Wallingford PA 19086-6412 Ph: (267) 997-8866 | Whole Senior Care Llc 306 Henry Ln Wallingford PA 19086-6412 Ph: (267) 997-8866 |
| NPI Number | 1205133402 |
|---|---|
| Provider Enumeration Date | 02/24/2011 |
| Last Update Date | 05/17/2022 |
| Certification Date | 09/21/2021 |
| Medicare PECOS PAC ID | 4082892203 |
|---|---|
| Medicare Enrollment ID | O20110616000748 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205133402 | NPI | - | NPPES |
| 803254 | Other | PA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 253Z00000X | In Home Supportive Care | CW016886 (Pennsylvania) | Primary |
| Provider Name | Linda Bloom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134298458 PECOS PAC ID: 2668547134 Enrollment ID: I20080818000639 |
| Provider Name | Jayma C Sitton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487894051 PECOS PAC ID: 9638220007 Enrollment ID: I20110616000763 |
| Provider Name | Lynn A Dufner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326217142 PECOS PAC ID: 1355615972 Enrollment ID: I20170920004057 |
| Provider Name | Karie E Melton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306355987 PECOS PAC ID: 3678831161 Enrollment ID: I20171209000106 |
| Provider Name | Sharon Kopyc |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407280365 PECOS PAC ID: 1456699305 Enrollment ID: I20190219001230 |
| Provider Name | Desiree R Hatton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053705343 PECOS PAC ID: 2668707134 Enrollment ID: I20190708000029 |
| Provider Name | Mindy Rachael Drossner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750052841 PECOS PAC ID: 5698163947 Enrollment ID: I20211019003164 |
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