Healthcare Provider Details

I. General information

NPI: 1073221651
Provider Name (Legal Business Name): BHT COMPANION & HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2022
Last Update Date: 11/11/2022
Certification Date: 11/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4483 1ST ST
BETHEL PARK PA
15102-2973
US

IV. Provider business mailing address

4483 1ST ST
BETHEL PARK PA
15102-2973
US

V. Phone/Fax

Practice location:
  • Phone: 412-668-6076
  • Fax:
Mailing address:
  • Phone: 412-668-6076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CHARITY DEPAOLO
Title or Position: OWNER
Credential:
Phone: 412-668-6076