MEDICARE: EFCC ACQUISITION CORP

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	77430500	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	:	1285744540
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EFCC ACQUISITION CORP

Provider Business Mailing Address
First Line	:	115 BROADHOLLOW RD
Second Line	:	275
City	:	MELVILLE
State	:	NY
Zip	:	11747-4992
Country	:	US
Telephone Number	:	631-223-0908
Fax Number	:	631-427-5466

Provider Business Practice Location Address
First Line	:	3424 WILLIAM PENN HWY
Second Line	:	SUITE 220
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-5444
Country	:	US
Telephone Number	:	412-241-7292
Fax Number	:	412-241-7288

Authorized Official
Title or Position	:	CEO
Name	:	MR. STEPHEN STERNBACH
Credential	:
Telephone Number	:	631-423-6689

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	02/16/2016

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Directions to “EFCC ACQUISITION CORP ” Practice Location

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