Healthcare Provider Details

I. General information

NPI: 1851808307
Provider Name (Legal Business Name): AGEWELL HOME HELPERS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2018
Last Update Date: 01/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 MUNSEY AVE
PITTSBURGH PA
15227-2946
US

IV. Provider business mailing address

110 MUNSEY AVE
PITTSBURGH PA
15227-2946
US

V. Phone/Fax

Practice location:
  • Phone: 412-885-1679
  • Fax: 412-885-1901
Mailing address:
  • Phone: 412-885-1679
  • Fax: 412-885-1901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number30483601
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number30483601
License Number StatePA

VIII. Authorized Official

Name: RAVI GURUNG
Title or Position: SECRETARY
Credential:
Phone: 412-885-1679