Eagle Ridge Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EAGLE RIDGE HOME CARE LLC

Practice address

2997 Renovo Rd
Mill Hall, PA 17751-8537

Phone

(570) 748-3162

NPI assigned

Mar 8, 2023

Last updated

Mar 8, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lindsey Penland

Title

President

Phone

(570) 748-3162

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1093415952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2997 RENOVO RD",
            "city": "MILL HALL",
            "state": "PA",
            "postal_code": "177518537",
            "telephone_number": "570-748-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2997 RENOVO RD",
            "city": "MILL HALL",
            "state": "PA",
            "postal_code": "177518537",
            "telephone_number": "570-748-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE RIDGE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "PENLAND",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-748-3162"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Fairman Creighton, M.A.
• David Cross
• Calie Nga Dang, D.M.D.
• Larry S Dansky, MD
• James Edward Davis IV
• Eagle Ridge Personal Care Home LLC
• Belinda Lee Eck
• Elizabeth A Evarts, ATC
• Stephanie Ford, M ED, MHS
• Christopher J Freeman, RPH

• In Home Supportive Care Agency in Mill Hall, PA
• Providers in Mill Hall, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.