Healthcare Provider Details

I. General information

NPI: 1073061362
Provider Name (Legal Business Name): EMPRESS HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2016
Last Update Date: 06/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3271 FARONIA ST
PITTSBURGH PA
15204
US

IV. Provider business mailing address

3271 FARONIA ST
PITTSBURGH PA
15204-2144
US

V. Phone/Fax

Practice location:
  • Phone: 914-557-1819
  • Fax:
Mailing address:
  • Phone: 914-557-1819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number30963601
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JASON COLEMAN
Title or Position: PRESIDENT
Credential:
Phone: 914-557-1819