Healthcare Provider Details

I. General information

NPI: 1760489405
Provider Name (Legal Business Name): TWIN TIER HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 02/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 RIVERSIDE DRIVE
JOHNSON CITY NY
13790
US

IV. Provider business mailing address

601 RIVERSIDE DRIVE
JOHNSON CITY NY
13790
US

V. Phone/Fax

Practice location:
  • Phone: 607-763-8946
  • Fax: 607-763-8949
Mailing address:
  • Phone: 607-763-8946
  • Fax: 607-763-8949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number0301601
License Number StateNY

VIII. Authorized Official

Name: MR. JOE CERRA
Title or Position: CEO/ PRESIDENT
Credential:
Phone: 607-763-8946