Provider Demographics
NPI:1346733607
Name:MANAGED HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:MANAGED HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DURGA
Authorized Official - Middle Name:
Authorized Official - Last Name:UPRETI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-584-0664
Mailing Address - Street 1:3330 SAW MILL RUN BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15227-2716
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3330 SAW MILL RUN BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15227
Practice Address - Country:US
Practice Address - Phone:724-584-0664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-12
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care