Healthcare Provider Details
I. General information
NPI: 1063809044
Provider Name (Legal Business Name): SWEET GOLDEN YEARS HOME HEALTH CARE 4 U LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/17/2015
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4099 WILLIAM PENN HWY STE 700
MONROEVILLE PA
15146-2517
US
IV. Provider business mailing address
218 CARRIAGE BLVD
PITTSBURGH PA
15239-3601
US
V. Phone/Fax
- Phone: 412-646-2717
- Fax: 412-376-2847
- Phone: 412-793-8671
- Fax: 412-793-4257
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | 05840501 |
| License Number State | PA |
VIII. Authorized Official
Name:
SATPAL
SINGH
Title or Position: PRESIDENT/ CEO
Credential:
Phone: 412-646-2717