Provider Demographics
NPI:1841778610
Name:INTERIM HEALTHCARE HOSPICE OF WESTERN PENNSYLVANIA INC
Entity Type:Organization
Organization Name:INTERIM HEALTHCARE HOSPICE OF WESTERN PENNSYLVANIA INC
Other - Org Name:INTERIM HEALTHCARE HOSPICE OF NORTHWEST PENNSYLVANIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:DIMARCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-436-9404
Mailing Address - Street 1:1789 S BRADDOCK AVE STE 340
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15218-1835
Mailing Address - Country:US
Mailing Address - Phone:412-436-2200
Mailing Address - Fax:412-436-2218
Practice Address - Street 1:2633 W 8TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16505-4034
Practice Address - Country:US
Practice Address - Phone:814-836-0214
Practice Address - Fax:814-835-3947
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTERIM HEALTHCARE HOSPICE OF WESTERN PENNSYLVANIA INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-08-02
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based