Healthcare Provider Details

I. General information

NPI: 1942304092
Provider Name (Legal Business Name): INTERIM HEALTHCARE OF PITTSBURGH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2006
Last Update Date: 06/22/2022
Certification Date: 06/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 VAN VOORHIS ROAD 2ND FLOOR
MORGANTOWN WV
26505-2737
US

IV. Provider business mailing address

1111 VAN VOORHIS RD 2ND FLOOR
MORGANTOWN WV
26505-2737
US

V. Phone/Fax

Practice location:
  • Phone: 304-598-8900
  • Fax: 304-598-7611
Mailing address:
  • Phone: 304-598-8900
  • Fax: 304-598-7611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number027598
License Number StateWV

VIII. Authorized Official

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