MEDICARE: P.R.N. HEALTH SERVICE, INC.

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	253Z00000X	In Home Supportive Care Agency	21243601	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154428514
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	P.R.N. HEALTH SERVICE, INC.

Provider Business Mailing Address
First Line	:	573 BRADDOCK AVE
Second Line	:
City	:	EAST PITTSBURGH
State	:	PA
Zip	:	15112-1224
Country	:	US
Telephone Number	:	412-824-2181
Fax Number	:	412-824-6390

Provider Business Practice Location Address
First Line	:	573 BRADDOCK AVE
Second Line	:
City	:	EAST PITTSBURGH
State	:	PA
Zip	:	15112-1224
Country	:	US
Telephone Number	:	412-824-2181
Fax Number	:	412-824-6390

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GINA MARIE LUFFY
Credential	:
Telephone Number	:	412-824-2181

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	05/15/2012

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