Provider Demographics
NPI:1164162962
Name:MARY ANGELS HOME CARE
Entity Type:Organization
Organization Name:MARY ANGELS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTAKE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:WINONA
Authorized Official - Middle Name:
Authorized Official - Last Name:LIPNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-628-4039
Mailing Address - Street 1:135 CUMBERLAND RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5447
Mailing Address - Country:US
Mailing Address - Phone:412-716-9223
Mailing Address - Fax:
Practice Address - Street 1:135 CUMBERLAND RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5447
Practice Address - Country:US
Practice Address - Phone:412-716-9223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-30
Last Update Date:2022-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care