Healthcare Provider Details

I. General information

NPI: 1538453766
Provider Name (Legal Business Name): ALL-MED CARE AT HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2011
Last Update Date: 06/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 PENN CENTER BLVD STE 400
PITTSBURGH PA
15235-5435
US

IV. Provider business mailing address

201 PENN CENTER BLVD STE 400
PITTSBURGH PA
15235-5435
US

V. Phone/Fax

Practice location:
  • Phone: 347-792-8182
  • Fax: 347-713-4536
Mailing address:
  • Phone: 347-792-8182
  • Fax: 347-713-4536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: NKEM UDEH
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 347-792-8182