Healthcare Provider Details

I. General information

NPI: 1912094673
Provider Name (Legal Business Name): INTERIM HEALTHCARE OF PITTSBURGH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 03/17/2022
Certification Date: 03/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 WARREN STREET SUITE 220
JOHNSTOWN PA
15905-3443
US

IV. Provider business mailing address

322 WARREN STREET SUITE 220
JOHNSTOWN PA
15905-3443
US

V. Phone/Fax

Practice location:
  • Phone: 814-254-1230
  • Fax: 814-254-1236
Mailing address:
  • Phone: 814-254-1230
  • Fax: 814-254-1236

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 J DIMARCO
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 614-436-9404