Healthcare Provider Details

I. General information

NPI: 1548839723
Provider Name (Legal Business Name): INTERIM HEALTHCARE OF PITTSBURGH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2021
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2766 W COLLEGE AVE STE 300
STATE COLLEGE PA
16801-2647
US

IV. Provider business mailing address

300 W WILSON BRIDGE RD STE 250
WORTHINGTON OH
43085-2289
US

V. Phone/Fax

Practice location:
  • Phone: 814-287-9412
  • Fax: 814-954-5286
Mailing address:
  • Phone: 614-436-9404
  • Fax: 614-436-2056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: THOMAS J DIMARCO
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 614-436-9404