Provider Demographics
NPI:1831291129
Name:FAMILY HOME HEALTH SERVICES, INC D/B/A THREE RIVERS HOSPICE
Entity Type:Organization
Organization Name:FAMILY HOME HEALTH SERVICES, INC D/B/A THREE RIVERS HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:RISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-856-4000
Mailing Address - Street 1:2500 MOSSIDE BLVD
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-3511
Mailing Address - Country:US
Mailing Address - Phone:412-856-4000
Mailing Address - Fax:
Practice Address - Street 1:1195 JACKS RUN ROAD
Practice Address - Street 2:
Practice Address - City:NORTH VERSAILLES
Practice Address - State:PA
Practice Address - Zip Code:15137
Practice Address - Country:US
Practice Address - Phone:412-349-0760
Practice Address - Fax:412-349-0745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA16701601251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA391670Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER