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NPI Code Detail

MEDICARE: H12ELEVEN LLC

MEDICARE: H12ELEVEN 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1972437515
Entity Type Code : Organization
Provider Name (Legal Business Name) : H12ELEVEN LLC
Provider Business Mailing Address
First Line : 1432 DEER CREEK CROSSING DR
Second Line :
City : CANONSBURG
State : PA
Zip : 15317-3918
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1432 DEER CREEK CROSSING DR
Second Line :
City : CANONSBURG
State : PA
Zip : 15317-3918
Country : US
Telephone Number : 412-909-4372
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. BRIAN RITCHEY
Credential :
Telephone Number : 412-909-4372
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/10/2026

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Directions to “H12ELEVEN LLC ” Practice Location

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