MEDICARE: SENECA HOME HEALTH LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies	3000007565	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1601245	OTHER	PA	HIGHMARK B/C B/S
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	163190	OTHER	PA	UNISON

General Provider Information

NPI Number	:	1063481885
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENECA HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	307 MAIN AVENUE
Second Line	:
City	:	WARREN
State	:	PA
Zip	:	16365
Country	:	US
Telephone Number	:	814-723-1155
Fax Number	:	814-723-7744

Provider Business Practice Location Address
First Line	:	307 MAIN AVE
Second Line	:
City	:	WARREN
State	:	PA
Zip	:	16365-2156
Country	:	US
Telephone Number	:	814-723-1155
Fax Number	:	814-723-7744

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOHN D HUBER
Credential	:
Telephone Number	:	814-723-1155

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	11/04/2010

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