Healthcare Provider Details

I. General information

NPI: 1881122281
Provider Name (Legal Business Name): HEALTHY SOLUTIONZ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2017
Last Update Date: 07/21/2022
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: 412-779-0163
  • Fax:
Mailing address:
  • Phone: 412-779-0163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number33103601
License Number StatePA

VII. Legacy identifiers

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

VIII. Authorized Official

Name: MR. ROY L MARKS SR.
Title or Position: CEO
Credential:
Phone: 412-779-0163