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NPI Code Detail

MEDICARE: AUTHENTIC HOME CARE

MEDICARE: AUTHENTIC HOME CARE
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
1163W00000XRegistered Nurse
23747A0650XAttendant Care Provider
33747P1801XPersonal Care Attendant
4253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1093463150
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUTHENTIC HOME CARE
Provider Business Mailing Address
First Line : 1005 IDAHO AVE
Second Line :
City : NATRONA HEIGHTS
State : PA
Zip : 15065-1343
Country : US
Telephone Number : 412-307-4564
Fax Number : 412-332-8023
Provider Business Practice Location Address
First Line : 1005 IDAHO AVE
Second Line :
City : NATRONA HEIGHTS
State : PA
Zip : 15065-1343
Country : US
Telephone Number : 412-307-4564
Fax Number : 412-332-8023
Authorized Official
Title or Position : CEO
Name : LYDIA MARIE REED
Credential : RN
Telephone Number : 724-472-7617
Provider Enumeration Date : 03/16/2022
Last Update Date : 03/16/2022

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Directions to “AUTHENTIC HOME CARE ” Practice Location

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