Provider Demographics
NPI:1710202387
Name:MORIARTY CERTIFIED HOME HEALTH CARE
Entity Type:Organization
Organization Name:MORIARTY CERTIFIED HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARLINDA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:MORIARTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-452-7595
Mailing Address - Street 1:133 HEATHER RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-3009
Mailing Address - Country:US
Mailing Address - Phone:610-664-3337
Mailing Address - Fax:610-664-3349
Practice Address - Street 1:133 HEATHER RD
Practice Address - Street 2:SUITE 101
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-3009
Practice Address - Country:US
Practice Address - Phone:610-664-3337
Practice Address - Fax:610-664-3349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-07
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA03260501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102298537Medicaid
PA1164689790Medicare PIN