Healthcare Provider Details

I. General information

NPI: 1972670784
Provider Name (Legal Business Name): FAMILY HOSPICE AND PALLIATIVE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 MOFFETT ST
PITTSBURGH PA
15243-1162
US

IV. Provider business mailing address

50 MOFFETT ST
PITTSBURGH PA
15243-1162
US

V. Phone/Fax

Practice location:
  • Phone: 412-572-8800
  • Fax: 412-572-8827
Mailing address:
  • Phone: 412-572-8800
  • Fax: 412-572-8827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number751705
License Number StatePA

VIII. Authorized Official

Name: MR. RAFAEL SCIULLO
Title or Position: PRESIDENT
Credential:
Phone: 412-572-8800