Provider Demographics
NPI:1407540503
Name:PEAS N POD, LLC
Entity Type:Organization
Organization Name:PEAS N POD, LLC
Other - Org Name:INFINITE SMILES HOME CARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHATICA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:MILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-377-1444
Mailing Address - Street 1:211 ERHARDT DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-1717
Mailing Address - Country:US
Mailing Address - Phone:412-377-1444
Mailing Address - Fax:
Practice Address - Street 1:211 ERHARDT DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-1717
Practice Address - Country:US
Practice Address - Phone:412-377-1444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-05
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty