Healthcare Provider Details

I. General information

NPI: 1053300491
Provider Name (Legal Business Name): TWIN TIER MANAGEMENT CORP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2005
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1393 ELMIRA STREET
SAYRE PA
18840-9284
US

IV. Provider business mailing address

1393 ELMIRA STREET
SAYRE PA
18840-9284
US

V. Phone/Fax

Practice location:
  • Phone: 570-888-3488
  • Fax: 570-888-3696
Mailing address:
  • Phone: 570-888-3488
  • Fax: 570-888-3696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number8000000073
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number8000000073
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number8000000073
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number8000000073
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. RACHEL MAZUR
Title or Position: CEO
Credential:
Phone: 614-205-1979