MEDICARE: P.R.N. HOME HEALTH AGENCY LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	767405	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487748570
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	P.R.N. HOME HEALTH AGENCY LP

Provider Business Mailing Address
First Line	:	573 BRADDOCK AVENUE
Second Line	:	SECOND FLOOR
City	:	EAST PITTSBURGH
State	:	PA
Zip	:	15112
Country	:	US
Telephone Number	:	800-860-8222
Fax Number	:	412-824-6390

Provider Business Practice Location Address
First Line	:	573 BRADDOCK AVENUE
Second Line	:	SECOND FLOOR
City	:	EAST PITTSBURGH
State	:	PA
Zip	:	15112
Country	:	US
Telephone Number	:	800-211-6002
Fax Number	:	412-824-6390

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	GINA M LUFFY
Credential	:
Telephone Number	:	800-860-8222

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	04/24/2012

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