Provider Demographics
NPI:1508479205
Name:MAHONE IN-HOME HEALTH CARE
Entity Type:Organization
Organization Name:MAHONE IN-HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHONE
Authorized Official - Suffix:
Authorized Official - Credentials:PERSONAL CARE NONMED
Authorized Official - Phone:412-918-6627
Mailing Address - Street 1:321 WILSON DR STE B
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-1739
Mailing Address - Country:US
Mailing Address - Phone:412-894-6131
Mailing Address - Fax:
Practice Address - Street 1:321 WILSON DR STE B
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-1739
Practice Address - Country:US
Practice Address - Phone:412-894-6131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-24
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA49643601OtherCERTIFICATE OF LICENSE