MEDICARE: RESTA 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	251E00000X	Home Health Agency	80230501	PA

General Provider Information

NPI Number	:	1346247095
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESTA HOME HEALTH, LLC

Provider Business Mailing Address
First Line	:	3901 BIGLER AVE
Second Line	:
City	:	NORTHERN CAMBRIA
State	:	PA
Zip	:	15714-2050
Country	:	US
Telephone Number	:	814-948-2848
Fax Number	:	814-948-2849

Provider Business Practice Location Address
First Line	:	3901 BIGLER AVE
Second Line	:
City	:	NORTHERN CAMBRIA
State	:	PA
Zip	:	15714-2050
Country	:	US
Telephone Number	:	814-948-2848
Fax Number	:	814-948-2849

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	THERESA BONATESTA
Credential	:	RN
Telephone Number	:	814-948-2848

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	10/01/2014

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Directions to “RESTA HOME HEALTH, LLC ” Practice Location

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