MEDICARE: NUCHOICE HEALTH PARTNERS 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	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency

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	:	1326182692
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NUCHOICE HEALTH PARTNERS LLC

Provider Business Mailing Address
First Line	:	2919 E STATE ST
Second Line	:
City	:	HERMITAGE
State	:	PA
Zip	:	16148-2748
Country	:	US
Telephone Number	:	724-981-5505
Fax Number	:	724-981-9218

Provider Business Practice Location Address
First Line	:	2919 E STATE ST
Second Line	:
City	:	HERMITAGE
State	:	PA
Zip	:	16148-2748
Country	:	US
Telephone Number	:	724-981-5505
Fax Number	:	724-981-9218

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. MARY SUE VANSICKLES
Credential	:
Telephone Number	:	724-981-5505

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	09/11/2020

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Directions to “NUCHOICE HEALTH PARTNERS LLC ” Practice Location

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