Larvar Tamika Edwards, LPN
Individual provider Active NPI In Home Supportive Care Agency · Trainer, PA
NPI 1740730845 · NPPES record last updated Sep 8, 2022
Key facts
- NPI
- 1740730845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- License
- 30273601 (PA)
- Practice address
- 4039 W 7TH St
Trainer, PA 19061-5003 - Phone
- (484) 390-9379
- Fax
- (610) 494-5810
- NPI assigned
- Oct 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30273601 | PA | MD | In Home Supportive Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heavenly Hands of Nursing LLC | In Home Supportive Care | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 30273601 | PA | Yes |
Addresses
Primary practice location
4039 W 7TH St
Trainer, PA 19061-5003
Mailing address
4039 W 7TH St
Trainer, PA 19061-5003
Phone (484) 390-9379
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30273601 | Other | PA | HEAVENLY HANDS OF NURSING LLC |
| 30273601 | Other | PA | NON-MEDICAL HOMECARE |
Other providers in Trainer, PA
- Church of the Overcomer
- Waverly Cook Jr.
- Heavenly Hands of Nursing LLC
- Hi Homecare LLC
- Homecare From the Heart LLC
- Paradise Gardens: a Celebration of Life Center, Inc
- Erica Randolph
All providers in Trainer, PA · In Home Supportive Care Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.