Provider Demographics
NPI:1548557986
Name:NATIONAL HOME MODIFICATIONS INC.
Entity Type:Organization
Organization Name:NATIONAL HOME MODIFICATIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:RANDY
Authorized Official - Last Name:MAROWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-452-7475
Mailing Address - Street 1:9155 MARSHALL RD STE 102B
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-2917
Mailing Address - Country:US
Mailing Address - Phone:724-452-7475
Mailing Address - Fax:724-452-5381
Practice Address - Street 1:9155 MARSHALL RD
Practice Address - Street 2:LOWER LEVEL 102 B
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066
Practice Address - Country:US
Practice Address - Phone:724-452-4738
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-06
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAHICPA018664171WH0202X
332B00000X, 333300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333300000XSuppliersEmergency Response System CompaniesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1023756720003Medicaid