Healthcare Provider Details

I. General information

NPI: 1942918321
Provider Name (Legal Business Name): HOLY HEART HOME CARE LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2022
Last Update Date: 11/14/2022
Certification Date: 11/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 MACEK DR
PITTSBURGH PA
15227-3639
US

IV. Provider business mailing address

66 MACEK DR
PITTSBURGH PA
15227-3639
US

V. Phone/Fax

Practice location:
  • Phone: 412-728-6338
  • Fax:
Mailing address:
  • Phone: 412-728-6338
  • 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 Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: PUNYA SHARMA
Title or Position: ADMINISTRATOR
Credential: CEO
Phone: 412-728-6338