MEDICARE: RONNETTA THOMAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	83543601	PA

General Provider Information

NPI Number	:	1003617309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONNETTA THOMAS

Provider Business Mailing Address
First Line	:	1647 BROADHEAD ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-1904
Country	:	US
Telephone Number	:	412-712-3276
Fax Number	:

Provider Business Practice Location Address
First Line	:	1647 BROADHEAD ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-1904
Country	:	US
Telephone Number	:	412-712-3276
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2025
Last Update Date	:	02/16/2026

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Directions to “ RONNETTA THOMAS ” Practice Location

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