Provider Demographics
NPI:1851808307
Name:AGEWELL HOME HELPERS INC.
Entity Type:Organization
Organization Name:AGEWELL HOME HELPERS INC.
Other - Org Name:AGEWELL CAREGIVER SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:RAVI
Authorized Official - Middle Name:
Authorized Official - Last Name:GURUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-885-1679
Mailing Address - Street 1:110 MUNSEY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15227-2946
Mailing Address - Country:US
Mailing Address - Phone:412-885-1679
Mailing Address - Fax:412-885-1901
Practice Address - Street 1:110 MUNSEY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15227-2946
Practice Address - Country:US
Practice Address - Phone:412-885-1679
Practice Address - Fax:412-885-1901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-05
Last Update Date:2018-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA30483601251E00000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care