MEDICARE: JOSIAH HOME HEALTH CARE, 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

General Provider Information

NPI Number	:	1770013138
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSIAH HOME HEALTH CARE, LLC

Provider Business Mailing Address
First Line	:	1418 TRAYMORE AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15221-2622
Country	:	US
Telephone Number	:	412-799-3283
Fax Number	:

Provider Business Practice Location Address
First Line	:	1418 TRAYMORE AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15221-2622
Country	:	US
Telephone Number	:	412-799-3283
Fax Number	:	412-799-3283

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	MS. MATSHIDISO MAKHANDA
Credential	:
Telephone Number	:	412-799-3283

Provider Enumeration Date	:	06/18/2017
Last Update Date	:	06/18/2017

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