Healthcare Provider Details

I. General information

NPI: 1063807766
Provider Name (Legal Business Name): WE'RE THERE HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2015
Last Update Date: 03/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 ORCHARD ST
MCKEESPORT PA
15132-5943
US

IV. Provider business mailing address

3200 ORCHARD ST
MCKEESPORT PA
15132-5943
US

V. Phone/Fax

Practice location:
  • Phone: 757-777-4407
  • Fax:
Mailing address:
  • Phone: 757-777-4407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number27503601
License Number StatePA

VII. Legacy identifiers

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

VIII. Authorized Official

Name: MS. GENEVIEVE T CHMIEL
Title or Position: CFO/OFFICE MANAGER
Credential:
Phone: 757-777-4407