Healthcare Provider Details

I. General information

NPI: 1346578747
Provider Name (Legal Business Name): NIGHTINGALE HOME HEALTHCARE OF WESTERN PENNSYLVANIA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2009
Last Update Date: 08/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 PENN CENTER BLVD SUITE 105
PITTSBURGH PA
15235-5435
US

IV. Provider business mailing address

1036 S RANGELINE RD
CARMEL IN
46032-2544
US

V. Phone/Fax

Practice location:
  • Phone: 866-334-7777
  • Fax: 866-878-0094
Mailing address:
  • Phone: 866-334-7777
  • Fax: 317-569-0140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number03480501
License Number StatePA

VIII. Authorized Official

Name: DR. DEV ANUROOP BRAR
Title or Position: OWNER
Credential:
Phone: 317-334-7777