Provider Demographics
NPI:1063643450
Name:WESTERN PENNSYLVANIA HOME HEALTH ASSOCIATION
Entity Type:Organization
Organization Name:WESTERN PENNSYLVANIA HOME HEALTH ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAYDENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-421-0909
Mailing Address - Street 1:4372 MURRAY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2906
Mailing Address - Country:US
Mailing Address - Phone:412-421-0909
Mailing Address - Fax:412-521-4701
Practice Address - Street 1:4372 MURRAY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-2906
Practice Address - Country:US
Practice Address - Phone:412-421-0909
Practice Address - Fax:412-521-4701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-03
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1024585500003Medicaid
PA1024585500001Medicaid
PA1063643450Medicare NSC