MEDICARE: CANDID HOME CARE 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
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	:	1770120743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CANDID HOME CARE INC

Provider Business Mailing Address
First Line	:	470 STREETS RUN RD STE 403
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15236-2073
Country	:	US
Telephone Number	:	804-982-0292
Fax Number	:	412-668-2761

Provider Business Practice Location Address
First Line	:	470 STREETS RUN RD STE 403
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15236-2073
Country	:	US
Telephone Number	:	804-982-0292
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BHUPENDRA BARAL
Credential	:
Telephone Number	:	804-982-0292

Provider Enumeration Date	:	12/09/2019
Last Update Date	:	12/03/2021

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Directions to “CANDID HOME CARE INC ” Practice Location

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