MEDICARE: PA HOME MODIFICATION

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	171WH0202X	Home Modifications Contractor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NA	OTHER		HOME ADAPTION

General Provider Information

NPI Number	:	1992369631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PA HOME MODIFICATION

Provider Business Mailing Address
First Line	:	3904 PERRYSVILLE AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15214-1748
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3904 PERRYSVILLE AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15214-1748
Country	:	US
Telephone Number	:	412-607-4400
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JUSTIN PORTIS
Credential	:
Telephone Number	:	412-607-4400

Provider Enumeration Date	:	04/29/2019
Last Update Date	:	04/29/2019

Similar Medicare Providers

1780792861 — FOXS PHARMACY INC
Practice Location Address:

3900 PERRYSVILLE AVE
PITTSBURGH, PA
15214-1748

Practice Phone: 412-231-8300
Practice Fax: 412-231-8301

1932218831 — FOXS PHARMACY INC
Practice Location Address:

3900 PERRYSVILLE AVE , SUITE A
PITTSBURGH, PA
15214-1748

Practice Phone: 412-231-8300
Practice Fax: 412-231-8301

1518068543 — ROSEMARY KARICHKO RPH
Practice Location Address:

3900 PERRYSVILLE AVE
PITTSBURGH, PA
15214-1748

Practice Phone: 412-231-8300
Practice Fax: 412-231-8301

1407936479 — JOHN STREBLICK RPH
Practice Location Address:

3900 PERRYSVILLE AVE
PITTSBURGH, PA
15214-1748

Practice Phone: 412-231-8300
Practice Fax: 412-231-8301

1932317336 — AMANDA N LUCAS LPC
Practice Location Address:

3934 PERRYSVILLE AVE
PITTSBURGH, PA
15214-1748

Practice Phone: 412-931-8907
Practice Fax:

1922070549 — MICHAEL JAMES VOGINI D.O.
Practice Location Address:

1748 JANCEY ST
PITTSBURGH, PA
15206-1100

Practice Phone: 412-661-4762
Practice Fax: 412-661-8472

Directions to “PA HOME MODIFICATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.