Provider Demographics
NPI:1891668539
Name:HYATT HOUSE CAREGIVING AGENCY LLC
Entity type:Organization
Organization Name:HYATT HOUSE CAREGIVING AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HIBA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSABONGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-636-7298
Mailing Address - Street 1:2675 HAZEL ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16508-1619
Mailing Address - Country:US
Mailing Address - Phone:814-636-7298
Mailing Address - Fax:
Practice Address - Street 1:2675 HAZEL ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16508-1619
Practice Address - Country:US
Practice Address - Phone:814-636-7298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health