Healthcare Provider Details

I. General information

NPI: 1730837626
Provider Name (Legal Business Name): N&C HOMECARE AGENCY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2022
Last Update Date: 12/20/2023
Certification Date: 12/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 WINSLOW ST
PITTSBURGH PA
15206-3219
US

IV. Provider business mailing address

122 WINSLOW ST
PITTSBURGH PA
15206-3219
US

V. Phone/Fax

Practice location:
  • Phone: 412-209-9555
  • Fax:
Mailing address:
  • Phone: 412-209-9555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name: RAMEKIA JOHNSON
Title or Position: OWNER
Credential:
Phone: 412-209-9555