Provider Demographics
NPI:1073054870
Name:SECOND TO NONE HOMECARE
Entity Type:Organization
Organization Name:SECOND TO NONE HOMECARE
Other - Org Name:VISITING ANGELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-981-8484
Mailing Address - Street 1:734 STAMBAUGH AVE
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-4131
Mailing Address - Country:US
Mailing Address - Phone:724-342-2273
Mailing Address - Fax:
Practice Address - Street 1:734 STAMBAUGH AVE
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:PA
Practice Address - Zip Code:16146-4131
Practice Address - Country:US
Practice Address - Phone:724-342-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA23403601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health