Healthcare Provider Details

I. General information

NPI: 1578123071
Provider Name (Legal Business Name): SYNERGY HOMECARE OF PITTSBURGH WEST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2019
Last Update Date: 06/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 STEUBENVILLE PIKE STE 3B
MC KEES ROCKS PA
15136-1401
US

IV. Provider business mailing address

5500 STEUBENVILLE PIKE STE 3B
MC KEES ROCKS PA
15136-1401
US

V. Phone/Fax

Practice location:
  • Phone: 412-787-1177
  • Fax: 412-787-1189
Mailing address:
  • Phone: 412-787-1177
  • Fax: 412-787-1189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. TAMMARA M. LUCHOVICK
Title or Position: ADMINISTRATOR/OWNER
Credential: RN, BSN
Phone: 412-787-1177