LORI DECARLO (NPI# 1164755625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164755625 |
| Entity Type | Individual |
| Full Name | LORI DECARLO |
| Credential | COTA/L |
| Practice Address |
696a Lenni Rd Aston PA 19014-1066 |
| Practice Telephone | 6104592046 |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
OP001599L | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AOTA | OP001599L | 01 |
| Street Address |
696A LENNI RD |
| City | ASTON |
| State | PA |
| Zip Code | 19014-1066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902374135 | Lauren Walker | Physical Therapist | 482-484 Conchester Highway, Suite 7 & 8, Aston, PA 19014 | 2018-11-06 |
| 1255814117 | Devin Mary Sioma | Counselor | Dciu Education Center, 100 Crozerville Road, Aston, PA 19014 | 2018-09-07 |
| 1972925675 | Lylelaine Bacalla | Registered Nurse | 50 Andrews Court, Upper Chichester, PA 19014 | 2014-01-15 |
| 1598020539 | Tarlan Arshian | Dentist | 488 Conchester Hwy, Upper Chichester, PA 19014 | 2012-07-05 |
| 1104194703 | Carla Laury | Counselor | 302 Belvue Terrace, Aston, PA 19014 | 2011-12-09 |
| 1548542426 | Me Lee Ghassemi | Pharmacist | 3620 Concord Road, Walgreens Pharmacy, Aston, PA 19014 | 2011-09-15 |
| 1649504986 | Chester Pain Management | General Practice | 4610 Pennell Road, Aston, PA 19014 | 2009-09-18 |
| 1053555474 | Sleepcare Center Inc. | Specialist | 4513 Pennell Road, Aston, PA 19014 | 2009-04-29 |
| 1366619033 | Jonathan Nobuhiro Hayashi | Dentist | 2901 Dutton Mill Road, Aston, PA 19014 | 2008-05-13 |
| 1215055355 | Karen Ann Maher | Physical Therapist | 2507 Chestnut Street, Chester, PA 19014 | 2007-03-27 |
| Find all providers in zip 19014 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837218 | Felix Hernandez | Custodial Care Facility | 814 Saint Paul St, Lewisburg, PA 17837-1210 | 2019-12-04 |
| 1811483084 | Silvercare Personal Care LLC | Custodial Care Facility | 34 Copley Rd, Upper Darby, PA 19082-2512 | 2018-07-10 |
| 1265963391 | Sunil Senior Care LLC | Custodial Care Facility | 220 E Chelten Ave, Philadelphia, PA 19144 | 2017-03-21 |
| 1295275519 | Nonprofit Development Corporation | Custodial Care Facility | 921 Grant Ave, East Butler, PA 16029 | 2017-03-06 |
| 1164875696 | White Lily Home Care Inc | Custodial Care Facility | 4915 Wynnefield Avenue, 1af, Wynnefield Heights, PA 19131 | 2016-07-20 |
| 1043661341 | Xzavier Hunter | Custodial Care Facility | 7007 York Rd, Abbottstown, PA 17301-9774 | 2016-06-28 |
| 1801292990 | Alpa Care Concepts | Custodial Care Facility | 6649 Woodland Ave, Philadelphia, PA 19142-1621 | 2014-11-17 |
| 1376971135 | Pocono Tranquil Gardens, LLC | Custodial Care Facility | 329 E Brown St, East Stroudsburg, PA 18301-3014 | 2013-10-14 |
| 1205273943 | Golden Age Care LLC | Custodial Care Facility | 716 Red Lion Rd, Philadelphia, PA 19115-1307 | 2013-06-03 |
| 1689913196 | Keystone Independent Living | Custodial Care Facility | 202 Boulevard Ave, Peckville, PA 18452-1002 | 2013-02-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.