MEDICARE: SANDIN HOME HEALTH SERVICES,INC

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	771405	PA

General Provider Information

NPI Number	:	1700884459
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANDIN HOME HEALTH SERVICES,INC

Provider Business Mailing Address
First Line	:	1119 BROADWAY ST
Second Line	:
City	:	EAST MC KEESPORT
State	:	PA
Zip	:	15035-1517
Country	:	US
Telephone Number	:	412-816-2325
Fax Number	:	412-816-2321

Provider Business Practice Location Address
First Line	:	1119 BROADWAY ST
Second Line	:
City	:	EAST MC KEESPORT
State	:	PA
Zip	:	15035-1517
Country	:	US
Telephone Number	:	412-816-2325
Fax Number	:	412-816-2321

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. DENISE DEBORAH PACACHA
Credential	:	RN BSN
Telephone Number	:	412-816-2325

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	04/18/2011

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