Healthcare Provider Details

I. General information

NPI: 1922887363
Provider Name (Legal Business Name): SPECIAL HEARTS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2023
Last Update Date: 09/25/2023
Certification Date: 09/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 AIRBRAKE AVE STE 12014
TURTLE CREEK PA
15145
US

IV. Provider business mailing address

1210 AIRBRAKE AVE STE 12014
TURTLE CREEK PA
15145
US

V. Phone/Fax

Practice location:
  • Phone: 412-844-2525
  • Fax:
Mailing address:
  • Phone: 412-844-2525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
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: KEVIN RIVERS
Title or Position: MANAGER
Credential: MLT, ASCP
Phone: 412-923-8634