Healthcare Provider Details

I. General information

NPI: 1548557986
Provider Name (Legal Business Name): NATIONAL HOME MODIFICATIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2011
Last Update Date: 05/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9155 MARSHALL RD LOWER LEVEL 102 B
CRANBERRY TWP PA
16066
US

IV. Provider business mailing address

9155 MARSHALL RD STE 102B
CRANBERRY TWP PA
16066-2917
US

V. Phone/Fax

Practice location:
  • Phone: 724-452-4738
  • Fax:
Mailing address:
  • Phone: 724-452-7475
  • Fax: 724-452-5381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License NumberHICPA018664
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: RANDY RANDY MAROWITZ
Title or Position: PRESIDENT
Credential:
Phone: 724-452-7475