Healthcare Provider Details

I. General information

NPI: 1861599177
Provider Name (Legal Business Name): INTERIM HEALTHCARE OF PITTSBURGH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/14/2021
Certification Date: 07/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1798 PLANK RD SUITE 101
DUNCANSVILLE PA
16635-8389
US

IV. Provider business mailing address

1798 PLANK RD STE 302
DUNCANSVILLE PA
16635-8389
US

V. Phone/Fax

Practice location:
  • Phone: 814-695-1242
  • Fax: 814-695-5613
Mailing address:
  • Phone: 814-695-1242
  • Fax: 814-695-5613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number73110501
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. THOMAS DIMARCO
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 614-436-9404