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NPI Code Detail

MEDICARE: ALLEGHENY HOME HEALTH, INC.

MEDICARE: ALLEGHENY HOME HEALTH, 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
1251E00000XHome Health Agency742705PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11009041910001OTHERPAPDAWAIVER PROVIDER NUMBER
2850OTHERPAHIGHMARK BLUE CROSS PROVI
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396748455
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLEGHENY HOME HEALTH, INC.
Provider Business Mailing Address
First Line : 1100 W HIGH ST
Second Line : SUITE 105
City : EBENSBURG
State : PA
Zip : 15931-1706
Country : US
Telephone Number : 814-471-2877
Fax Number : 814-471-2876
Provider Business Practice Location Address
First Line : 1100 W HIGH ST
Second Line : SUITE 105
City : EBENSBURG
State : PA
Zip : 15931-1706
Country : US
Telephone Number : 814-471-2877
Fax Number : 814-471-2876
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. STACY BRADLEY
Credential :
Telephone Number : 814-471-2877
Provider Enumeration Date : 05/23/2005
Last Update Date : 01/20/2009

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Directions to “ALLEGHENY HOME HEALTH, INC. ” Practice Location

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