National Provider Identifier Database

HOMESTEAD HEIGHTS OF NEW BERLIN
Gerontology


Contact Information

HOMESTEAD HEIGHTS OF NEW BERLIN
78 HOMESTEAD HEIGHTS DR.
MIFFLINBURG, PA17844
Phone: 570-217-0066
Fax: 570-209-8845
Website:
Specialty Taxonomy Code
* Gerontology 163WG0600X

* Indicates primary specialty

NPI Profile & details for HOMESTEAD HEIGHTS OF NEW BERLIN

NPI Number 1962366245
Legal business name
LBN
HOMESTEAD HEIGHTS OF NEW BERLIN
Authorized official DAVE WENGERD - (ADMINISTRATOR)
Entity Organization
Organization subpart Yes
Enumeration date 12/11/2025
Last updated 12/11/2025 - About 6 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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