Provider Demographics
NPI:1750866125
Name:STONE HEARTH HOME CARE LLC
Entity Type:Organization
Organization Name:STONE HEARTH HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BERNARDING
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:724-747-8972
Mailing Address - Street 1:22 GEARING RD
Mailing Address - Street 2:
Mailing Address - City:MONONGAHELA
Mailing Address - State:PA
Mailing Address - Zip Code:15063-3000
Mailing Address - Country:US
Mailing Address - Phone:724-747-8972
Mailing Address - Fax:
Practice Address - Street 1:22 GEARING RD
Practice Address - Street 2:
Practice Address - City:MONONGAHELA
Practice Address - State:PA
Practice Address - Zip Code:15063-3000
Practice Address - Country:US
Practice Address - Phone:724-747-8972
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-01
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103318670Medicaid