Healthcare Provider Details

I. General information

NPI: 1780102392
Provider Name (Legal Business Name): ANDREW MICHAEL RIMOLDI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78 DARLINGTON RD
BEAVER FALLS PA
15010-3153
US

IV. Provider business mailing address

78 DARLINGTON RD
BEAVER FALLS PA
15010-3153
US

V. Phone/Fax

Practice location:
  • Phone: 724-494-9127
  • Fax:
Mailing address:
  • Phone: 724-494-9127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: