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Provider Demographic Information - INDEPENDENT LIFE HOME CARE & STAFFING SOLUTIONS LL

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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	INDEPENDENT LIFE HOME CARE & STAFFING SOLUTIONS LL
Address:	259 WYOMING AVE STE 3 KINGSTON, PA 18704-3531
Phone:	(570) 904-8822
E-mail:	GVICKERS@INDEPENDENTLIFENEPA.COM
Web Site:	N/A

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PROVIDER CERTIFICATION INFORMATION Supporting line for group header

Click here to view Provider Certification Information

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PROVIDER'S PARENT/ REGIONAL OFFICE Supporting line for group header


Type:	Corporate Office
Name:	Independent Life Home Care
Address:	486 S MOUNTAIN BLVD MOUNTAIN TOP, PA 18707-2212
Phone:	(570) 904-8822

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PROVIDER SERVICES AND RATES Supporting line for group header


County : Carbon/Monroe/Pike
\|Service Name / Level	\|Rate

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.
In-Home & Commnty Supprts (Lvl 2 Enh)	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) LPN	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) RN	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$12.30 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$7.95 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home	$7.95 / 15 min.
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home	$491.89 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) In-Home	$317.80 / 1 Day

County : Lackawanna/Susquehanna
\|Service Name / Level	\|Rate

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.
In-Home & Commnty Supprts (Lvl 2 Enh)	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) LPN	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) RN	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$12.30 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$7.95 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home	$7.95 / 15 min.
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home	$491.89 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) In-Home	$317.80 / 1 Day

County : Luzerne/Wyoming
\|Service Name / Level	\|Rate

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.
In-Home & Commnty Supprts (Lvl 2 Enh)	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) LPN	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) RN	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$12.30 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$7.95 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)Out-of-Home	$7.95 / 15 min.
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home	$491.89 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) In-Home	$317.80 / 1 Day

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